<%@ page language="java" contentType="text/html; charset=utf-8"
	pageEncoding="utf-8"%>
<%@ include file="/commons/taglibs.jsp"%>
<!DOCTYPE html>
<html>
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<meta name="renderer" content="webkit">
<meta http-equiv="Cache-Control" content="no-siteapp" />
<title>会员信息服务</title>
<%@ include file="/commons/static.jsp"%>
<link rel="shortcut icon" href="${ctx }/home/common/img/favicon.png"
	type="image/x-icon">
</head>
<style>
i{
	color:#00a2ca;
}
i{
	padding-right: 5px;
	white-space:nowrap; 
}
</style>
<body>
	<div class="col-lg-8  col-md-12 col-sm-12 col-xs-12 col-lg-offset-2">
		<div class="widget">
			<div class="widget-header" style="text-align: center;">
				<h2>调查问卷</h2>
			</div>
			<div class="widget-body" style="overflow: hidden">
				<form id="form" action="${ctx }/customer/saveSurveyRepor"
					class="form-horizontal form-bordered" method="post" role="form">
					<div class="col-lg-12 col-sm-12 col-xs-12 ">
					<!-- <input type="button" onclick="upData()" />  -->
						<div class="widget">
							<section id="sec1" name="section1" style="display: block;">
								<input id="customerId" value="${id }" hidden name="customerId" />
								<input id="id" value="${re.id }" hidden name="id" />
								<input id="content" hidden name="content" />
								<div class="bancgud row">
									<div class="formfont wjdc_top col-lg-12">
										<img src="${ctx}/dep/img/wenjuan.png"> <span class="No">NO.1</span>
										<span class="inform">个人基础信息</span>
									</div>
									<div class="col-lg-6">
										<div class="form-group hypading">
											<label class="col-sm-3 control-label no-padding-right"><i  id="t01"
												class="fa fa-exclamation-circle"></i>姓名</label>
											<div class="col-sm-9">
												<input type="text" class="form-control" tab="tab_1" t="t01"

													id="group_1_name_text" name="group_1_name_1_text" value="${r.name }"
													name="height" placeholder="请输入会员姓名" data-bv-notempty="true"
													data-bv-notempty-message="会员姓名不能为空" data-bv-field="name">
												<small data-bv-validator="notEmpty"
													data-bv-validator-for="name" class="help-block"
													style="display: none;">会员姓名不能为空</small>
											</div>
										</div>
										<div class="form-group hypading">
											<label class="col-sm-3 control-label no-padding-right">性别<span
												class="help-inline"></span></label>
											<div class="col-sm-9 collabe">
												<c:if test="${r.sex eq '1' }">
													<label class="labletab "> <input type="radio"
														id="group_1_six1_radio" name="group_1_six_radio" value="1"
														checked data-bv-field="d"> <span class="text">男</span>
													</label> <label class="labletab"> <input type="radio"
														id="group_1_six2_radio" name="group_1_six_radio" value="2"
														data-bv-field="d"> <span class="text">女</span>
													</label> <label class="labletab"> <input type="radio"
														id="group_1_six0_radio" name="group_1_six_radio" value="0"
														data-bv-field="d"> <span class="text">其他</span>
													</label>
												</c:if>
												
												<c:if test="${r.sex eq '2' }">
													<label class="labletab "> <input type="radio"
														id="group_1_six1_radio" name="group_1_six_radio" value="1"
														 data-bv-field="d"> <span class="text">男</span>
													</label> <label class="labletab"> <input type="radio" checked
														id="group_1_six2_radio" name="group_1_six_radio" value="2"
														data-bv-field="d"> <span class="text">女</span>
													</label> <label class="labletab"> <input type="radio"
														id="group_1_six0_radio" name="group_1_six_radio" value="0"
														data-bv-field="d"> <span class="text">其他</span>
													</label>
												</c:if>
												
												
												<c:if test="${r.sex eq '0' }">
													<label class="labletab "> <input type="radio"
														id="group_1_six1_radio" name="group_1_six_radio" value="1"
														 data-bv-field="d"> <span class="text">男</span>
													</label> <label class="labletab"> <input type="radio" 
														id="group_1_six2_radio" name="group_1_six_radio" value="2"
														data-bv-field="d"> <span class="text">女</span>
													</label> <label class="labletab"> <input type="radio" checked
														id="group_1_six0_radio" name="group_1_six_radio" value="0"
														data-bv-field="d"> <span class="text">其他</span>
													</label>
												</c:if>
											</div>
										</div>
										<div class="form-group">
											<label class="col-sm-3 control-label no-padding-right"><i  id="t02"
												class="fa fa-exclamation-circle"></i>证件号码<span
												class="help-inline"></span></label>
											<div class="col-sm-9">
												<input type="text" name="group_1_cardNum_text" value="${r.cardNumber }"
													id="group_1_cardNum_text" class="form-control" tab="tab_1" t="t02"
													name="Certificates"
													data-bv-notempty="true" data-bv-notempty-message="证件号码不能为空"
													data-bv-field="Certificates"> <small
													data-bv-validator="notEmpty"
													data-bv-validator-for="Certificates" class="help-block"
													style="display: none;">证件号码不能为空</small>
											</div>
										</div>
										<div class="form-group hypading">
											<label class="col-sm-3 control-label no-padding-right">文化程度<span
												class="help-inline"></span></label>
											<div class="col-sm-9">
												<select tabindex="10" class="form-control"
													name="group_1_culture_select" id="group_1_culture_select"
													data-bv-notempty="true" data-bv-notempty-message="文化程度不能为空"
													data-bv-field="culture">
													
													<c:if test="${r.highestDegree eq '1' }">
														<c:set var="s1" value="selected"></c:set> 
													</c:if>
													<c:if test="${r.highestDegree eq '2' }">
														<c:set var="s2" value="selected"></c:set> 
													</c:if>
													<c:if test="${r.highestDegree eq '3' }">
														<c:set var="s3" value="selected"></c:set> 
													</c:if>
													<c:if test="${r.highestDegree eq '4' }">
														<c:set var="s4" value="selected"></c:set> 
													</c:if>
													<c:if test="${r.highestDegree eq '5' }">
														<c:set var="s5" value="selected"></c:set> 
													</c:if>
													<c:if test="${r.highestDegree eq '6' }">
														<c:set var="s6" value="selected"></c:set> 
													</c:if>
													<c:if test="${r.highestDegree eq '7' }">
														<c:set var="s7" value="selected"></c:set> 
													</c:if>
													<c:if test="${r.highestDegree eq '8' }">
														<c:set var="s8" value="selected"></c:set> 
													</c:if>
						
													
													<option ${s8 } value="8">博士</option>
													<option ${s7 } value="7">研究生以上</option>
													<option ${s6 } value="6">大学本科</option>
													<option ${s5 } value="5">大学专科</option>
													<option ${s4 }  value="4">普通高中</option>
													<option ${s3 } value="3">中等职业</option>
													<option ${s2 } value="2">初级中学</option>
													<option ${s1 } value="1">小学</option>
													<option ${s9 } value="9">其他</option>
												</select> <small data-bv-validator="notEmpty"
													data-bv-validator-for="culture" class="help-block"
													style="display: none;">文化程度不能为空</small>
											</div>
										</div>
									</div>
									<div class="col-lg-6">
										<div class="form-group hypading">
											<label for="inputEmail3"
												class="col-sm-3 control-label no-padding-right">年龄<span
												class="help-inline"></span></label>
											<div class="col-sm-9">
											<c:set value="${fn:substring(r.birthday,0,4)}" var="age"></c:set>
												<input type="text" name="group_1_age" id="group_1_age_text" 

													class="form-control" placeholder="请输入您的年龄" value="${2017-age}" 
													data-bv-notempty="true" data-bv-field="tel"> <small
													data-bv-validator="notEmpty"
													class="help-block" style="display: none;"></small>
											</div>
										</div>

										<div class="form-group hypading">
											<label for="inputEmail3"
												class="col-sm-3 control-label no-padding-right"><i
												class="fa fa-exclamation-circle"></i>手机号<span
												class="help-inline"></span></label>
											<div class="col-sm-9">
												<input type="text" class="form-control"
													placeholder="请输入您的手机号" name="group_1_tel_text" value="${r.memPhone }"
													id="group_1_tel_text" data-bv-notempty="true"
													data-bv-field="tel"> <small
													data-bv-validator="notEmpty" data-bv-validator-for="tel"
													class="help-block" style="display: none;">手机号不能为空</small>
											</div>
										</div>

										<div class="form-group">
											<label class="col-sm-3 control-label no-padding-right">婚姻状况<span
												class="help-inline"></span></label>
											<div class="col-sm-9">
												<select tabindex="10" class="col-sm-12 form-control"
													id="group_1_marry_select" name="group_1_marry"
													data-bv-notempty="true" data-bv-notempty-message="婚姻状况不能为空"
													data-bv-field="Marriage">
													
													<c:if test="${r.marry eq '1' }">
															<c:set var="m1" value="selected"></c:set> 
													</c:if>
													<c:if test="${r.marry eq '2' }">
															<c:set var="m2" value="selected"></c:set> 
													</c:if>
													<c:if test="${r.marry eq '3' }">
															<c:set var="m3" value="selected"></c:set> 
													</c:if>
													<c:if test="${r.marry eq '4' }">
															<c:set var="m4" value="selected"></c:set> 
													</c:if>
													<c:if test="${r.marry eq '5' }">
															<c:set var="m5" value="selected"></c:set> 
													</c:if>
													<c:if test="${r.marry eq '6' }">
															<c:set var="m6" value="selected"></c:set> 
													</c:if>
													
													<option ${m1 } value="1">已婚</option>
													<option ${m2 } value="2">未婚</option>
													<option ${m3 } value="3">离异</option>
													<option ${m4 } value="4">丧偶</option>
													<option ${m5 } value="5">其他</option>
												</select> <small data-bv-validator="notEmpty"
													data-bv-validator-for="Marriage" class="help-block"
													style="display: none;">婚姻状况不能为空</small>
											</div>
										</div>

										<div class="form-group">
											<label class="col-sm-3 control-label no-padding-right">职业<span
												class="help-inline"></span></label>
											<div class="col-sm-9">
												<select tabindex="10" class="col-sm-12 form-control"
													id="group_1_abbr_select" name="group_1_abbr"
													data-bv-notempty="true" data-bv-notempty-message="婚姻状况不能为空"
													data-bv-field="Marriage">
													<option value="1">企事业单位人员</option>
													<option value="2">农/林/牧/渔/水利业生产人员</option>
													<option value="3">生产、运输设备操作人员及有关人员</option>
													<option value="4">专业技术人员</option>
													<option value="5">办事人员和有关人员</option>
													<option value="6">商业、服务业人员</option>
													<option value="7">军人</option>
													<option value="8">婴幼儿、学龄前儿童</option>
													<option value="9">学生</option>
													<option value="10">失业及下岗人员</option>
													<option value="11">离退休人员</option>
													<option value="12">其他</option>
												</select> <small data-bv-validator="notEmpty"
													data-bv-validator-for="Marriage" class="help-block"
													style="display: none;">婚姻状况不能为空</small>
											</div>
										</div>
									</div>
									<div class="col-sm-8  col-xs-offset-4 btn-bottm"
										style="padding-top: 125px">

										<button type="button" onclick="next(2)"
											class=" btn btn-active col-sm-2 col-xs-offset-3">下一步</button>
									</div>
								</div>


							</section>
							<section name="section1" id="sec2" style="display: none;">
								<div class="bancgud row">
									<div class="formfont wjdc_top col-lg-12">
										<img src="${ctx }/dep/img/wenjuan.png"> <span class="No">NO.2</span>
										<span class="inform">个人体检信息</span>
									</div>
									<!--<div class="formfont col-lg-12">二  个人体检信息</div>-->
									<h4 class="block col-lg-12"><i id="t1"
												class="fa fa-exclamation-circle"></i>1.一般检查（1尺=33.3厘米）</h4>
									<div class="col-lg-4">
										<div class="form-group">
											<label class="col-sm-3 control-label no-padding-right">身高<span
												class="help-inline"></span></label>
											<div class="col-sm-9">
												<div class="input-group">
													<input type="text" id="group_2_height_text" tab="tab_2"
														t="t1" class="form-control"> <span

														class="input-group-addon">cm</span>
												</div>
											</div>
										</div>
										<div class="form-group">
											<label class="col-sm-3 control-label no-padding-right">体重<span
												class="help-inline"></span></label>
											<div class="col-sm-9">
												<div class="input-group">
													<input type="text" id="group_2_weight_text" tab="tab_2"
														t="t1" class="form-control"> <span
														class="input-group-addon">kg</span>
												</div>
											</div>
										</div>
									</div>
									<div class="col-lg-4">
										<div class="form-group">
											<label class="col-sm-3 control-label no-padding-right">臀围<span
												class="help-inline"></span></label>
											<div class="col-sm-9">
												<div class="input-group">
													<input type="text" id="group_2_hip_text" tab="tab_2"
													t="t1"	class="form-control"> <span
														class="input-group-addon">cm</span>
												</div>
											</div>
										</div>
										<div class="form-group">
											<label class="col-sm-3 control-label no-padding-right">腰围<span
												class="help-inline"></span></label>
											<div class="col-sm-9">
												<div class="input-group">
													<input type="text" id="group_2_waistline_text" tab="tab_2"
													t="t1"	class="form-control"> <span
														class="input-group-addon">cm</span>
												</div>
											</div>
										</div>
									</div>
									<div class="col-lg-4">
										<div class="form-group">
											<label class="col-sm-3 control-label no-padding-right">收缩压<span
												class="help-inline"></span></label>
											<div class="col-sm-9">
												<div class="input-group">
													<input type="text" id="group_2_sbp_text" tab="tab_2"
													t="t1"	class="form-control"> <span
														class="input-group-addon">mmHg</span>
												</div>
											</div>
										</div>
										<div class="form-group">
											<label class="col-sm-3 control-label no-padding-right">舒张压<span
												class="help-inline"></span></label>
											<div class="col-sm-9">
												<div class="input-group">
													<input type="text" id="group_2_dbp_text" tab="tab_2"
													t="t1"	class="form-control"> <span
														class="input-group-addon">mmHg</span>
												</div>
											</div>
										</div>
									</div>
									<h4 class="block col-lg-12"><i id="t2"
												class="fa fa-exclamation-circle"></i>2.心电图检查（每项单选）</h4>
									<table class="table table-striped table-hover table-bordered">
										<tbody>
											<tr>
												<td width="25%">早搏</td>
												<td>
													<div class="collabe">
														<label class="labletab col-sm-2"> <input tab="tab_2"
														t="t2"	type="radio" id="group_2_vpb1_radio" value="1" 
															name="group_2_vpb_radio"  data-bv-field="d">
															<span class="text">无</span>
														</label> <label class="labletab col-sm-2"> <input tab="tab_2"
														t="t2"	type="radio" id="group_2_vpb2_radio" value="2"
															name="group_2_vpb_radio" data-bv-field="d"> <span
															class="text">有</span>
														</label> <label class="labletab col-sm-2"> <input tab="tab_2"
														t="t2"	type="radio" id="group_2_vpb3_radio" value="3"
															name="group_2_vpb_radio" data-bv-field="d"> <span
															class="text">不清楚</span>
														</label>
													</div>
												</td>
											</tr>
											<tr>
												<td width="25%">ST-T改变</td>
												<td>
													<div class="collabe">
														<label class="labletab col-sm-2"> <input tab="tab_2"
														t="t2"	type="radio" id="group_2_st1_radio" value="1"
															name="group_2_st_radio"  data-bv-field="d">
															<span class="text">无</span>
														</label> <label class="labletab col-sm-2"> <input tab="tab_2"
														t="t2"	type="radio" id="group_2_st2_radio" value="2"
															name="group_2_st_radio" data-bv-field="d"> <span
															class="text">有</span>
														</label> <label class="labletab col-sm-2"> <input tab="tab_2"
														t="t2"	type="radio" id="group_2_st3_radio" value="3"
															name="group_2_st_radio" data-bv-field="d"> <span
															class="text">不清楚</span>
														</label>
													</div>
												</td>
											</tr>
											<tr>
												<td width="25%">房颤</td>
												<td>
													<div class="collabe">
														<label class="labletab col-sm-2"> <input tab="tab_2"
														t="t2"	type="radio" id="group_2_eee1_radio" value="1"
															name="group_2_eee_radio"  data-bv-field="d">
															<span class="text">无</span>
														</label> <label class="labletab col-sm-2"> <input tab="tab_2"
														t="t2"	type="radio" id="group_2_eee2_radio" value="2"
															name="group_2_eee_radio" data-bv-field="d"> <span
															class="text">有</span>
														</label> <label class="labletab col-sm-2"> <input tab="tab_2"
														t="t2"	type="radio" id="group_2_eee3_radio" value="3"
															name="group_2_eee_radio" data-bv-field="d"> <span
															class="text">不清楚</span>
														</label>
													</div>
												</td>
											</tr>
											<tr>
												<td width="25%">左心房肥大</td>
												<td>
													<div class="collabe">
														<label class="labletab col-sm-2"> <input tab="tab_2"
														t="t2"	type="radio" id="group_2_lha1_radio" value="1"
															name="group_2_lha_radio"  data-bv-field="d">
															<span class="text">无</span>
														</label> <label class="labletab col-sm-2"> <input tab="tab_2"
														t="t2"	type="radio" id="group_2_lha2_radio" value="2"
															name="group_2_lha_radio" data-bv-field="d"> <span
															class="text">有</span>
														</label> <label class="labletab col-sm-2"> <input tab="tab_2"
														t="t2"	type="radio" id="group_2_lha3_radio" value="3"
															name="group_2_lha_radio" data-bv-field="d"> <span
															class="text">不清楚</span>
														</label>
													</div>
												</td>
											</tr>
										</tbody>
									</table>
									<h4 class="block col-lg-12"><i id="t3"
												class="fa fa-exclamation-circle"></i>3.X线和B超检查（每项单选）</h4>
									<table class="table table-striped table-hover table-bordered">
										<tbody>
											<tr>
												<td width="25%">肝脂肪</td>
												<td>
													<div class="collabe">
														<label class="labletab col-sm-2"> <input t="t3" tab="tab_2"
															type="radio" name="group_2_axunge_radio"
															id="group_2_axunge1_radio" value="1" 
															data-bv-field="d"> <span class="text">无</span>
														</label> <label class="labletab col-sm-2"> <input t="t3" tab="tab_2"
															type="radio" name="group_2_axunge_radio"
															id="group_2_axunge2_radio" value="2" data-bv-field="d">
															<span class="text">有</span>
														</label> <label class="labletab col-sm-2"> <input t="t3" tab="tab_2"
															type="radio" name="group_2_axunge_radio"
															id="group_2_axunge3_radio" value="3" data-bv-field="d">
															<span class="text">不清楚</span>
														</label>
													</div>
												</td>
											</tr>
											<tr>
												<td width="25%">胆结石</td>
												<td>
													<div class="collabe">
														<label class="labletab col-sm-2"> <input t="t3" tab="tab_2"
															type="radio" name="group_2_gallStone_radio"
															id="group_2_gallStone1_radio" value="1" 
															data-bv-field="d"> <span class="text">无</span>
														</label> <label class="labletab col-sm-2"> <input t="t3" tab="tab_2"
															type="radio" name="group_2_gallStone_radio"
															id="group_2_gallStone2_radio" value="2" data-bv-field="d">
															<span class="text">有</span>
														</label> <label class="labletab col-sm-2"> <input t="t3" tab="tab_2"
															type="radio" name="group_2_gallStone_radio"
															id="group_2_gallStone3_radio" value="3" data-bv-field="d">
															<span class="text">不清楚</span>
														</label>
													</div>
												</td>
											</tr>
											<tr>
												<td width="25%">肾结石</td>
												<td>
													<div class="collabe">
														<label class="labletab col-sm-2"> <input t="t3" tab="tab_2"
															type="radio" name="group_2_kidneyStone_radio"
															id="group_2_kidneyStone1_radio" value="1" 
															data-bv-field="d"> <span class="text">无</span>
														</label> <label class="labletab col-sm-2"> <input t="t3" tab="tab_2"
															type="radio" name="group_2_kidneyStone_radio"
															id="group_2_kidneyStone2_radio" value="2"
															data-bv-field="d"> <span class="text">有</span>
														</label> <label class="labletab col-sm-2"> <input t="t3" tab="tab_2"
															type="radio" name="group_2_kidneyStone_radio"
															id="group_2_kidneyStone3_radio" value="3"
															data-bv-field="d"> <span class="text">不清楚</span>
														</label>
													</div>
												</td>
											</tr>
											<tr>
												<td width="25%">乳房良性结节或肿块</td>
												<td>
													<div class="collabe">
														<label class="labletab col-sm-2"> <input t="t3" tab="tab_2"
															type="radio" name="group_2_knur_radio"
															id="group_2_knur1_radio" value="1" 
															data-bv-field="d"> <span class="text">无</span>
														</label> <label class="labletab col-sm-2"> <input t="t3" tab="tab_2"
															type="radio" name="group_2_knur_radio"
															id="group_2_knur2_radio" value="2" data-bv-field="d">
															<span class="text">有</span>
														</label> <label class="labletab col-sm-2"> <input t="t3" tab="tab_2"
															type="radio" name="group_2_knur_radio"
															id="group_2_knur3_radio" value="3" data-bv-field="d">
															<span class="text">不清楚</span>
														</label>
													</div>
												</td>
											</tr>
										</tbody>
									</table>
									<h4 class="block col-lg-12">4.实验室检查</h4>
									<table class="table table-striped table-hover table-bordered">
										<thead>
											<tr>
												<th width="20%">体检项目</th>
												<th width="10%">体查值</th>
												<th width="10%">单位</th>
												<th width="20%">体检项目</th>
												<th width="10%">检查值</th>
												<th width="10%">单位</th>
											</tr>
										</thead>
										<tbody>
											<tr>
												<td>胆固醇(TC)</td>
												<td><input type="text" id="group_2_tc_text" 
													class="form-control" value="2.00"></td>
												<td><select id="group_2_tcTag_select">
														<option value="1">mmol1/L</option>
														<option value="2">mmol2/L</option>
														<option value="3">mmol3/L</option>
												</select></td>
												<td>高密度脂蛋白胆固醇</td>
												<td><input type="text" id="group_2_htc_text"  
													class="form-control" value="2.00"></td>
												<td><select id="group_2_htcTag_select">
														<option value="1">mmol1/L</option>
														<option value="2">mmol2/L</option>
														<option value="3">mmol3/L</option>
												</select></td>
											</tr>
											<tr>
												<td>甘油三脂(TG)</td>
												<td><input type="text" id="group_2_tg_text" 
													class="form-control" value="2.00"></td>
												<td><select id="group_2_tgTag_select">
														<option value="1">mmol1/L</option>
														<option value="2">mmol2/L</option>
														<option value="3">mmol3/L</option>
												</select></td>
												<td>低密度脂蛋白胆固醇</td>
												<td><input type="text" id="group_2_ldl_text"
													class="form-control" value="2.00"></td>
												<td><select id="group_2_ldlTag_select">
														<option value="1">mmol1/L</option>
														<option value="2">mmol2/L</option>
														<option value="3">mmol3/L</option>
												</select></td>
											</tr>
											<tr>
												<td>空腹血糖(GLU)</td>
												<td><input type="text" id="group_2_glu_text" 
													class="form-control" value="2.00"></td>
												<td><select id="group_2_gluTag_select">
														<option value="1">mmol1/L</option>
														<option value="2">mmol2/L</option>
														<option value="3">mmol3/L</option>
												</select></td>
												<td>餐后2小时血糖</td> 
												<td><input type="text" id="group_2_eat2_text" 
													class="form-control"></td>
												<td><select id="group_2_eat2Tag_select">
														<option value="1">mmol1/L</option>
														<option value="2">mmol2/L</option>
														<option value="3">mmol3/L</option>
												</select></td>
											</tr>
											<tr>
												<td>血红蛋白(HGB)</td>
												<td><input type="text" id="group_2_hgb_text"
													class="form-control" value=""></td>
												<td>g/l</td>
												<td>血尿酸(UA)</td>
												<td><input type="text" id="group_2_uc_text"
													class="form-control"></td>
												<td>umol/L</td>
											</tr>
											<tr>
												<td>谷丙转氨酶(HGB)</td>
												<td><input type="text" id="group_2_alt_text"
													class="form-control" value=""></td>
												<td>IU/L</td>
												<td>乙肝表面抗原(HBsAg)</td>
												<td colspan="2"><label class="col-sm-6"> <input
														type="checkbox" id="group_2_hasag1_checkbox" value="1"
														name="group_2_hasag_checkbox"> <span class="text">阳性</span>
												</label> <label class="col-sm-6"> <input type="checkbox"
														id="group_2_hasag2_checkbox" value="2"
														name="group_2_hasag_checkbox"> <span class="text">阴性</span>
												</label></td>
											</tr>
											<tr>
												<td>谷草转氨酶(AST)</td>
												<td><input type="text" id="group_2_ast_text"
													class="form-control" value=""></td>
												<td>IU/L</td>
												<td>丙型肝炎抗体(HCV)</td>
												<td colspan="2"><label class="col-sm-6"> <input
														type="checkbox" id="group_2_hcv1_checkbox" value="1"
														name="group_2_hcv_checkbox"> <span class="text">阳性</span>
												</label> <label class="col-sm-6"> <input type="checkbox"
														id="group_2_hcv2_checkbox" value="2"
														name="group_2_hcv_checkbox"> <span class="text">阴性</span>
												</label></td>
											</tr>
											<tr>
												<td>尿蛋白(PRO)</td>
												<td colspan="2"><label class="col-sm-6"> <input
														type="checkbox" id="group_2_pro1_checkbox" value="1"
														name="group_2_pro_checkbox"> <span class="text">阳性</span>
												</label> <label class="col-sm-6"> <input type="checkbox"
														id="group_2_pro2_checkbox" value="2"
														name="group_2_pro_checkbox"> <span class="text">阴性</span>
												</label></td>
												<td>大便隐血(HCV)</td>
												<td colspan="2"><label class="col-sm-6"> <input
														type="checkbox" id="group_2_so1_checkbox" value="1"
														name="group_2_so_checkbox"> <span class="text">阳性</span>
												</label> <label class="col-sm-6"> <input type="checkbox"
														id="group_2_so2_checkbox" value="2"
														name="group_2_so_checkbox"> <span class="text">阴性</span>
												</label></td>
											</tr>
											<tr>
												<td>甲胎蛋白(AFP)</td>
												<td><input type="text" id="group_2_afp1_text"
													class="form-control" value=""></td>
												<td>IU/L</td>
												<td>癌胚抗原(CEA)</td>
												<td><input type="text" id="group_2_cea_text"
													class="form-control" value=""></td>
												<td>ug/l</td>
											</tr>
											<tr>
												<td>C反应蛋白(CRP)</td>
												<td><input type="text" id="group_2_crp_text"
													class="form-control" value=""></td>
												<td>mg/L</td>
												<td>前列腺特异抗原(PSA)</td>
												<td><input type="text" id="group_2_psa_text"
													class="form-control" value=""></td>
												<td>ug/l</td>
											</tr>
											<tr>
												<td>血肌肝(Cr)</td>
												<td><input type="text" id="group_2_cr_text"
													class="form-control" value=""></td>
												<td>umol/L</td>
												<td>骨密度检测指标-T值</td>
												<td><input type="text" id="group_2_bmd_text"
													class="form-control" value=""></td>
												<td></td>
											</tr>
										</tbody>
									</table>
									<div class="col-sm-8  col-xs-offset-3 btn-bottm"
										style="padding-top: 25px">
										<button type="button" onclick="back(1)"
											class=" btn btn-darkorange col-sm-2">上一步</button>
										<button type="button" onclick="next(3)"
											class=" btn btn-active col-sm-2 col-xs-offset-3">下一步</button>
									</div>
								</div>
							</section>
							<section id="sec3" name="section1" style="display: none;">

								<div class="bancgud row">
									<div class="formfont wjdc_top col-lg-12">
										<img src="${ctx}/dep/img/wenjuan.png"> <span class="No">NO.3</span>
										<span class="inform">个人膳食信息</span>
									</div>
									<h4 class="block col-lg-12"><i id="t5" class="fa fa-exclamation-circle"></i>5.您过去一周内所吃的食物</h4>
									<div class="wenjuan-food">
										<div class="wenjuan-food-cell">
											<div class="wenjuan-food-pic">
												<img src="${ctx}/dep/img/nice.jpg">
											</div>
											<div class="wenjuan-food-name">
												<h2 class="ellipsis">大米、面粉类、杂粮类</h2>
												[ 1碗米饭≈2两 ]
											</div>
											<div class="wenjuan-food-select">
												<div class="d-food-rate-show d-food-week">
													<em id="cr_w_i">每周</em>
													<table>
														<tbody>
															<tr>
																<td width="150px"><label class="labletab"><input
																		id="group_3_foodWeek1_radio" value="1" type="radio"  tab="tab_3" t="t5"
																		name="group_3_foodWeek_radio" data-bv-field="d"><span
																		class="text">5-7天</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		id="group_3_foodWeek2_radio" value="2" type="radio"
																		name="group_3_foodWeek_radio" data-bv-field="d"><span
																		class="text">3-4天</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		id="group_3_foodWeek3_radio" value="3" type="radio"
																		name="group_3_foodWeek_radio" data-bv-field="d"><span
																		class="text">1-2天</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		id="group_3_foodWeek4_radio" value="4" type="radio"
																		name="group_3_foodWeek_radio" data-bv-field="d"><span
																		class="text">1天或不吃</span></label></td>
															</tr>
														</tbody>
													</table>
												</div>
												<div class="d-food-rate-show d-food-day">
													<em id="cr_d_i">每天</em>
													<table>
														<tbody>
															<tr>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		id="group_3_foodDay1_radio" value="1" type="radio"
																		name="group_3_foodDay_radio" data-bv-field="d"><span
																		class="text">8两</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		id="group_3_foodDay2_radio" value="2" type="radio"
																		name="group_3_foodDay_radio" data-bv-field="d"><span
																		class="text">5-8两</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		id="group_3_foodDay3_radio" value="3" type="radio"
																		name="group_3_foodDay_radio" data-bv-field="d"><span
																		class="text">2-4两</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		id="group_3_foodDay4_radio" value="4" type="radio"
																		name="group_3_foodDay_radio" data-bv-field="d"><span
																		class="text">≤1两</span></label></td>
															</tr>
														</tbody>
													</table>
												</div>
											</div>
										</div>
										<div class="wenjuan-food-cell">
											<div class="wenjuan-food-pic" style="background: #58c0db;">
												<img src="${ctx}/dep/img/meat.jpg">
											</div>
											<div class="wenjuan-food-name">
												<h2 class="ellipsis">肉类（猪，牛，羊，禽）</h2>
												[ 1副扑克牌大小≈2两 ]
											</div>
											<div class="wenjuan-food-select">
												<div class="d-food-rate-show d-food-week">
													<em id="meat_w_i">每周</em>
													<table>
														<tbody>
															<tr>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		type="radio" id="group_3_meetWeek1_radio" value="1"
																		name="group_3_meetWeek_radio" data-bv-field="d"><span
																		class="text">5-7天</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		type="radio" id="group_3_meetWeek2_radio" value="2"
																		name="group_3_meetWeek_radio" data-bv-field="d"><span
																		class="text">3-4天</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		type="radio" id="group_3_meetWeek3_radio" value="3"
																		name="group_3_meetWeek_radio" data-bv-field="d"><span
																		class="text">1-2天</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		type="radio" id="group_3_meetWeek4_radio" value="4"
																		name="group_3_meetWeek_radio" data-bv-field="d"><span
																		class="text">1天或不吃</span></label></td>
															</tr>
														</tbody>
													</table>
												</div>
												<div class="d-food-rate-show d-food-day">
													<em id="meat_d_i">每天</em>
													<table>
														<tbody>
															<tr>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		type="radio" id="group_3_meetDay1_radio" value="1"
																		name="group_3_meetDay_radio" data-bv-field="d"><span
																		class="text">8两</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		type="radio" id="group_3_meetDay2_radio" value="2"
																		name="group_3_meetDay_radio" data-bv-field="d"><span
																		class="text">5-8两</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		type="radio" id="group_3_meetDay3_radio" value="3"
																		name="group_3_meetDay_radio" data-bv-field="d"><span
																		class="text">2-4两</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		type="radio" id="group_3_meetDay4_radio" value="4"
																		name="group_3_meetDay_radio" data-bv-field="d"><span
																		class="text">≤1两</span></label></td>
															</tr>
														</tbody>
													</table>
												</div>
											</div>
										</div>
										<div class="wenjuan-food-cell">
											<div class="wenjuan-food-pic" style="background: #e4774c;">
												<img src="${ctx}/dep/img/fash.jpg">
											</div>
											<div class="wenjuan-food-name">
												<h2 class="ellipsis">鱼类或其他水产品：虾、蟹</h2>
												[ 1副扑克牌大小≈2两 ]
											</div>
											<div class="wenjuan-food-select">
												<div class="d-food-rate-show d-food-week">
													<em id="fish_w_i">每周</em>
													<table>
														<tbody>
															<tr>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		type="radio" id="group_3_apWeek1_radio" value="1"
																		name="group_3_apWeek_radio" data-bv-field="d"><span
																		class="text">5-7天</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		type="radio" id="group_3_apWeek2_radio" value="2"
																		name="group_3_apWeek_radio" data-bv-field="d"><span
																		class="text">3-4天</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		type="radio" id="group_3_apWeek3_radio" value="3"
																		name="group_3_apWeek_radio" data-bv-field="d"><span
																		class="text">1-2天</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		type="radio" id="group_3_apWeek4_radio" value="4"
																		name="group_3_apWeek_radio" data-bv-field="d"><span
																		class="text">1天或不吃</span></label></td>
															</tr>
														</tbody>
													</table>
												</div>
												<div class="d-food-rate-show d-food-day">
													<em id="fish_d_i">每天</em>
													<table>
														<tbody>
															<tr>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		type="radio" id="group_3_apDay1_radio" value="1"
																		name="group_3_apDay_radio" data-bv-field="d"><span
																		class="text">8两</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		type="radio" id="group_3_apDay2_radio" value="2"
																		name="group_3_apDay_radio" data-bv-field="d"><span
																		class="text">5-8两</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		type="radio" id="group_3_apDay3_radio" value="3"
																		name="group_3_apDay_radio" data-bv-field="d"><span
																		class="text">2-4两</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		type="radio" id="group_3_apDay4_radio" value="4"
																		name="group_3_apDay_radio" data-bv-field="d"><span
																		class="text">≤1两</span></label></td>
															</tr>
														</tbody>
													</table>
												</div>
											</div>
										</div>
										<div class="wenjuan-food-cell">
											<div class="wenjuan-food-pic" style="background: #31ad77;">
												<img src="${ctx}/dep/img/egg.jpg">
											</div>
											<div class="wenjuan-food-name">
												<h2 class="ellipsis">蛋类及其制品</h2>
												[ 1个鸡蛋≈1两 ]
											</div>
											<div class="wenjuan-food-select">
												<div class="d-food-rate-show d-food-week">
													<em id="egg_w_i">每周</em>
													<table>
														<tbody>
															<tr>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		type="radio" id="group_3_eggWeek1_radio" value="1"
																		name="group_3_eggWeek_radio" data-bv-field="d"><span
																		class="text">5-7天</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		type="radio" id="group_3_eggWeek2_radio" value="2"
																		name="group_3_eggWeek_radio" data-bv-field="d"><span
																		class="text">3-4天</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		type="radio" id="group_3_eggWeek3_radio" value="3"
																		name="group_3_eggWeek_radio" data-bv-field="d"><span
																		class="text">1-2天</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		type="radio" id="group_3_eggWeek4_radio" value="4"
																		name="group_3_eggWeek_radio" data-bv-field="d"><span
																		class="text">1天或不吃</span></label></td>
															</tr>
														</tbody>
													</table>
												</div>
												<div class="d-food-rate-show d-food-day">
													<em id="egg_d_i">每天</em>
													<table>
														<tbody>
															<tr>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		type="radio" id="group_3_eggDay1_radio" value="1"
																		name="group_3_eggDay_radio" data-bv-field="d"><span
																		class="text">8两</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		type="radio" id="group_3_eggDay2_radio" value="2"
																		name="group_3_eggDay_radio" data-bv-field="d"><span
																		class="text">5-8两</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		type="radio" id="group_3_eggDay3_radio" value="3"
																		name="group_3_eggDay_radio" data-bv-field="d"><span
																		class="text">2-4两</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5"
																		type="radio" id="group_3_eggDay4_radio" value="4"
																		name="group_3_eggDay_radio" data-bv-field="d"><span
																		class="text">≤1两</span></label></td>
															</tr>
														</tbody>
													</table>
												</div>
											</div>
										</div>
										
<div class="wenjuan-food-cell">
												<div class="wenjuan-food-pic">
													<img src="${ctx}/dep/img/milk.jpg">
												</div>
												<div class="wenjuan-food-name">
													<h2 class="ellipsis">牛奶及奶制品</h2>
													[ 1袋240毫升(mL)奶≈1杯 ]
												</div>
												<div class="wenjuan-food-select">
													<div class="d-food-rate-show d-food-week">
														<em id="milk_w_i" class="">每周</em>
														<table>
															<tbody>
															<tr>
																<td width="150px"><label class="labletab"><input id="group_3_milkWeek1_radio" value="1" tab="tab_3" t="t5"
																		name="group_3_milkWeek_radio" type="radio"  data-bv-field="d"><span class="text">5-7天</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5" id="group_3_milkWeek2_radio" value="2" type="radio" name="group_3_milkWeek_radio" data-bv-field="d"><span class="text">3-4天</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5" id="group_3_milkWeek3_radio" value="3" type="radio" name="group_3_milkWeek_radio" data-bv-field="d"><span class="text">1-2天</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5" id="group_3_milkWeek4_radio" value="4" type="radio" name="group_3_milkWeek_radio" data-bv-field="d"><span class="text">1天或不吃</span></label></td>
															</tr>
															</tbody>
														</table>
													</div>
													<div class="d-food-rate-show d-food-day niunai">
														<em id="milk_d_i" class="">每天</em>
														<table>
															<tbody>
															<tr>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5" value="1" id="group_3_milkday1_radio" type="radio" name="group_3_milkday_radio" data-bv-field="d"><span class="text">8两</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5" value="2" id="group_3_milkday2_radio" type="radio" name="group_3_milkday_radio" data-bv-field="d"><span class="text">5-8两</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5" value="3" id="group_3_milkday3_radio" type="radio" name="group_3_milkday_radio" data-bv-field="d"><span class="text">2-4两</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5" value="4" id="group_3_milkday4_radio" type="radio" name="group_3_milkday_radio" data-bv-field="d"><span class="text">≤1两</span></label></td>
															</tr>
															</tbody>
														</table>
													</div>
												</div>
											</div>
											<div class="wenjuan-food-cell">
												<div class="wenjuan-food-pic" style="background: #58c0db;">
													<img src="${ctx}/dep/img/bean.jpg">
												</div>
												<div class="wenjuan-food-name">
													<h2 class="ellipsis">豆类及豆制品</h2>
													[ 1副扑克牌大小≈2两 ]
												</div>
												<div class="wenjuan-food-select">
													<div class="d-food-rate-show d-food-week">
														<em id="bean_w_i" class="">每周</em>
														<table>
															<tbody>
															<tr>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5" value="1" id="group_3_beanWeek1_radio" type="radio" name="group_3_beanWeek_radio" data-bv-field="d"><span class="text">5-7天</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5" value="2" id="group_3_beanWeek2_radio" type="radio" name="group_3_beanWeek_radio" data-bv-field="d"><span class="text">3-4天</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5" value="3" id="group_3_beanWeek3_radio" type="radio" name="group_3_beanWeek_radio" data-bv-field="d"><span class="text">1-2天</span></label></td>
																<td width="150px"><label class="labletab"><input tab="tab_3" t="t5" value="4" id="group_3_beanWeek4_radio" type="radio" name="group_3_beanWeek_radio" data-bv-field="d"><span class="text">1天或不吃</span></label></td>
															</tr>
															</tbody>
														</table>
													</div>
													<div class="d-food-rate-show d-food-day">
														<em id="bean_d_i" class="">每天</em>
														<table>
															<tbody>
															<tr>
																<td width="150px"><label class="labletab"><input value="1" id="group_3_beanday1_radio" tab="tab_3" t="t5" type="radio" name="group_3_beanday_radio" data-bv-field="d"><span class="text">8两</span></label></td>
																<td width="150px"><label class="labletab"><input value="2" id="group_3_beanday2_radio" tab="tab_3" t="t5" type="radio" name="group_3_beanday_radio" data-bv-field="d"><span class="text">5-8两</span></label></td>
																<td width="150px"><label class="labletab"><input value="3" id="group_3_beanday3_radio" tab="tab_3" t="t5" type="radio" name="group_3_beanday_radio" data-bv-field="d"><span class="text">2-4两</span></label></td>
																<td width="150px"><label class="labletab"><input value="4" id="group_3_beanday4_radio" tab="tab_3" t="t5" type="radio" name="group_3_beanday_radio" data-bv-field="d"><span class="text">≤1两</span></label></td>
															</tr>
															</tbody>
														</table>
													</div>
												</div>
											</div>
											<div class="wenjuan-food-cell">
												<div class="wenjuan-food-pic" style="background: #e4774c;">
													<img src="${ctx}/dep/img/vegetables.jpg">
												</div>
												<div class="wenjuan-food-name">
													<h2 class="ellipsis">新鲜蔬菜</h2>
													[ 1碗炒熟的青菜≈6两 ]
												</div>
												<div class="wenjuan-food-select">
													<div class="d-food-rate-show d-food-week">
														<em id="vegetable_w_i" class="">每周</em>
														<table>
															<tbody>
															<tr>
																<td width="150px"><label class="labletab"><input value="1" id="group_3_truckWeek1_radio" tab="tab_3" t="t5" type="radio" name="group_3_truckWeek_radio" data-bv-field="d"><span class="text">5-7天</span></label></td>
																<td width="150px"><label class="labletab"><input value="2" id="group_3_truckWeek2_radio" tab="tab_3" t="t5" type="radio" name="group_3_truckWeek_radio" data-bv-field="d"><span class="text">3-4天</span></label></td>
																<td width="150px"><label class="labletab"><input value="3" id="group_3_truckWeek3_radio" tab="tab_3" t="t5" type="radio" name="group_3_truckWeek_radio" data-bv-field="d"><span class="text">1-2天</span></label></td>
																<td width="150px"><label class="labletab"><input value="4" id="group_3_truckWeek4_radio" tab="tab_3" t="t5" type="radio" name="group_3_truckWeek_radio" data-bv-field="d"><span class="text">1天或不吃</span></label></td>
															</tr>
															</tbody>
														</table>
													</div>
													<div class="d-food-rate-show d-food-day">
														<em id="vegetable_d_i" class="">每天</em>
														<table>
															<tbody>
															<tr>
																<td width="150px"><label class="labletab"><input value="1" id="group_3_truckday1_radio" tab="tab_3" t="t5" type="radio" name="group_3_truckday_radio" data-bv-field="d"><span class="text">8两</span></label></td>
																<td width="150px"><label class="labletab"><input value="2" id="group_3_truckday2_radio" tab="tab_3" t="t5" type="radio" name="group_3_truckday_radio" data-bv-field="d"><span class="text">5-8两</span></label></td>
																<td width="150px"><label class="labletab"><input value="3" id="group_3_truckday3_radio" tab="tab_3" t="t5" type="radio" name="group_3_truckday_radio" data-bv-field="d"><span class="text">2-4两</span></label></td>
																<td width="150px"><label class="labletab"><input value="4" id="group_3_truckday4_radio" tab="tab_3" t="t5" type="radio" name="group_3_truckday_radio" data-bv-field="d"><span class="text">≤1两</span></label></td>
															</tr>
															</tbody>
														</table>
													</div>
												</div>
											</div>
											<div class="wenjuan-food-cell">
												<div class="wenjuan-food-pic" style="background: #31ad77;">
													<img src="${ctx}/dep/img/fruits.jpg">
												</div>
												<div class="wenjuan-food-name">
													<h2 class="ellipsis">新鲜水果</h2>
													[ 1个苹果≈4两 ]
												</div>
												<div class="wenjuan-food-select">
													<div class="d-food-rate-show d-food-week">
														<em id="ffru_w_i" class="">每周</em>
														<table>
															<tbody>
															<tr>
																<td width="150px"><label class="labletab"><input value="1" id="group_3_fruitWeek1_radio" tab="tab_3" t="t5" type="radio" name="group_3_fruitWeek_radio" data-bv-field="d"><span class="text">5-7天</span></label></td>
																<td width="150px"><label class="labletab"><input value="2" id="group_3_fruitWeek2_radio" tab="tab_3" t="t5" type="radio" name="group_3_fruitWeek_radio" data-bv-field="d"><span class="text">3-4天</span></label></td>
																<td width="150px"><label class="labletab"><input value="3" id="group_3_fruitWeek3_radio" tab="tab_3" t="t5" type="radio" name="group_3_fruitWeek_radio" data-bv-field="d"><span class="text">1-2天</span></label></td>
																<td width="150px"><label class="labletab"><input value="4" id="group_3_fruitWeek4_radio" tab="tab_3" t="t5" type="radio" name="group_3_fruitWeek_radio" data-bv-field="d"><span class="text">1天或不吃</span></label></td>
															</tr>
															</tbody>
														</table>
													</div>
													<div class="d-food-rate-show d-food-day">
														<em id="ffru_d_i" class="">每天</em>
														<table>
															<tbody>
															<tr>
																<td width="150px"><label class="labletab"><input value="1" id="group_3_fruitday1_radio" tab="tab_3" t="t5" type="radio" name="group_3_fruitday_radio" data-bv-field="d"><span class="text">8两</span></label></td>
																<td width="150px"><label class="labletab"><input value="2" id="group_3_fruitday2_radio" tab="tab_3" t="t5" type="radio" name="group_3_fruitday_radio" data-bv-field="d"><span class="text">5-8两</span></label></td>
																<td width="150px"><label class="labletab"><input value="3" id="group_3_fruitday3_radio" tab="tab_3" t="t5" type="radio" name="group_3_fruitday_radio" data-bv-field="d"><span class="text">2-4两</span></label></td>
																<td width="150px"><label class="labletab"><input value="4" id="group_3_fruitday4_radio" tab="tab_3" t="t5" type="radio" name="group_3_fruitday_radio" data-bv-field="d"><span class="text">≤1两</span></label></td>
															</tr>
															</tbody>
														</table>
													</div>
												</div>
											</div>
											<div class="wenjuan-food-cell">
												<div class="wenjuan-food-pic" style="margin: 11px 0 12px 0;">
													<img src="${ctx}/dep/img/dessert.jpg">
												</div>
												<div class="wenjuan-food-name">
													<h2 class="ellipsis">甜食（甜点、糖果等）</h2>
												</div>
												<div class="wenjuan-food-select">
													<div class="d-food-rate-show d-food-week" style="border:none">
														<em id="sweet_food_i">每周</em>
														<table>
															<tbody>
															<tr>
																<td width="150px"><label class="labletab"><input value="1" id="group_3_sweetWeek1_radio" tab="tab_3" t="t5" type="radio" name="group_3_sweetWeek_radio" data-bv-field="d"><span class="text">5-7天</span></label></td>
																<td width="150px"><label class="labletab"><input value="2" id="group_3_sweetWeek2_radio" tab="tab_3" t="t5" type="radio" name="group_3_sweetWeek_radio" data-bv-field="d"><span class="text">3-4天</span></label></td>
																<td width="150px"><label class="labletab"><input value="3" id="group_3_sweetWeek3_radio" tab="tab_3" t="t5" type="radio" name="group_3_sweetWeek_radio" data-bv-field="d"><span class="text">1-2天</span></label></td>
																<td width="150px"><label class="labletab"><input value="4" id="group_3_sweetWeek4_radio" tab="tab_3" t="t5" type="radio" name="group_3_sweetWeek_radio" data-bv-field="d"><span class="text">1天或不吃</span></label></td>
															</tr>
															</tbody>
														</table>
													</div>
												</div>
											</div>
											<div class="wenjuan-food-cell">
												<div class="wenjuan-food-pic" style="background: #31ad77; margin: 11px 0 12px 0;">
													<img src="${ctx}/dep/img/fried.jpg">
												</div>
												<div class="wenjuan-food-name">
													<h2 class="ellipsis">油炸食品</h2>
												</div>
												<div class="wenjuan-food-select">
													<div class="d-food-rate-show d-food-week" style="border:none">
														<em id="fried_food_i">每周</em>
														<table>
															<tbody>
															<tr>
																<td width="150px"><label class="labletab"><input value="1" id="group_3_fryWeek1_radio" tab="tab_3" t="t5" type="radio" name="group_3_fryWeek_radio" data-bv-field="d"><span class="text">5-7天</span></label></td>
																<td width="150px"><label class="labletab"><input value="2" id="group_3_fryWeek2_radio" tab="tab_3" t="t5" type="radio" name="group_3_fryWeek_radio" data-bv-field="d"><span class="text">3-4天</span></label></td>
																<td width="150px"><label class="labletab"><input value="3" id="group_3_fryWeek3_radio" tab="tab_3" t="t5" type="radio" name="group_3_fryWeek_radio" data-bv-field="d"><span class="text">1-2天</span></label></td>
																<td width="150px"><label class="labletab"><input value="4" id="group_3_fryWeek4_radio" tab="tab_3" t="t5" type="radio" name="group_3_fryWeek_radio" data-bv-field="d"><span class="text">1天或不吃</span></label></td>
															</tr>
															</tbody>
														</table>
													</div>
												</div>
											</div>
											<div class="wenjuan-food-cell">
												<div class="wenjuan-food-pic" style="background: #e4774c; margin: 11px 0 12px 0;">
													<img src="${ctx}/dep/img/pickle.jpg">
												</div>
												<div class="wenjuan-food-name">
													<h2 class="ellipsis">腌、熏类食物</h2>
												</div>
												<div class="wenjuan-food-select">
													<div class="d-food-rate-show d-food-week" style="border:none">
														<em id="smoked_food_i">每周</em>
														<table>
															<tbody>
															<tr>
																<td width="150px"><label class="labletab"><input value="1" id="group_3_kindWeek1_radio" tab="tab_3" t="t5" type="radio" name="group_3_kindWeek_radio" data-bv-field="d"><span class="text">5-7天</span></label></td>
																<td width="150px"><label class="labletab"><input value="2" id="group_3_kindWeek2_radio" tab="tab_3" t="t5" type="radio" name="group_3_kindWeek_radio" data-bv-field="d"><span class="text">3-4天</span></label></td>
																<td width="150px"><label class="labletab"><input value="3" id="group_3_kindWeek3_radio" tab="tab_3" t="t5" type="radio" name="group_3_kindWeek_radio" data-bv-field="d"><span class="text">1-2天</span></label></td>
																<td width="150px"><label class="labletab"><input value="4" id="group_3_kindWeek4_radio" tab="tab_3" t="t5" type="radio" name="group_3_kindWeek_radio" data-bv-field="d"><span class="text">1天或不吃</span></label></td>
															</tr>
															</tbody>
														</table>
													</div>
												</div>
											</div>										

											<div>
												<h4 class="block col-lg-12"><i id="t6" class="fa fa-exclamation-circle"></i>6.您一日三餐按时进餐吗？</h4>
												<div class="col-lg-12">
													<div class="checkbox  form-group">
														<label class="col-lg-2"> <input value="1" id="group_3_ehma1_radio" tab="tab_3" t="t6" name="group_3_ehma_radio" type="radio" class=""> <span class="text">不按时</span></label>
														<label class="col-lg-2"> <input value="2" id="group_3_ehma2_radio" tab="tab_3" t="t6" name="group_3_ehma_radio" type="radio" class=""> <span class="text">基本按时</span></label>
														<label class="col-lg-2"> <input value="3" id="group_3_ehma3_radio" tab="tab_3" t="t6" name="group_3_ehma_radio" type="radio" class=""> <span class="text">按时</span></label>
													</div>
												</div>
											</div>

											<div>
												<h4 class="block col-lg-12"><i id="t7" class="fa fa-exclamation-circle"></i>7.您的饮食习惯属于以下那种类型？</h4>
												<div class="col-lg-12">
													<div class="checkbox  form-group">
														<label class="col-lg-2"> <input value="1" id="group_3_dh1_radio" tab="tab_3" t="t7" name="group_3_dh_radio" type="radio" class=""> <span class="text">素食为主</span></label>
														<label class="col-lg-2"> <input value="2" id="group_3_dh2_radio" tab="tab_3" t="t7" name="group_3_dh_radio" type="radio" class=""> <span class="text">荤素均衡</span></label>
														<label class="col-lg-2"> <input value="3" id="group_3_dh3_radio" tab="tab_3" t="t7" name="group_3_dh_radio" type="radio" class=""> <span class="text">荤食为主</span></label>
													</div>
												</div>
											</div>
											<div>
												<h4 class="block col-lg-12"><i id="t8" class="fa fa-exclamation-circle"></i>8.与周围人相比，您对自己的进食速度评价？</h4>
												<div class="col-lg-12">
													<div class="checkbox  form-group">
														<label class="col-lg-2"> <input value="1" id="group_3_ef1_radio" tab="tab_3" t="t8"  name="group_3_ef_radio" type="radio" class=""> <span class="text">偏快</span></label>
														<label class="col-lg-2"> <input value="2" id="group_3_ef2_radio" tab="tab_3" t="t8"  name="group_3_ef_radio" type="radio" class=""> <span class="text">适中</span></label>
														<label class="col-lg-2"> <input value="3" id="group_3_ef3_radio" tab="tab_3" t="t8"  name="group_3_ef_radio" type="radio" class=""> <span class="text">偏慢</span></label>
													</div>
												</div>
											</div>
											<div>
												<h4 class="block col-lg-12"><i id="t9" class="fa fa-exclamation-circle"></i>9.您的口味与周围的人相比？</h4>
												<div class="col-lg-12">
													<div class="checkbox  form-group">
														<label class="col-lg-2"> <input value="1" id="group_3_taste1_radio" tab="tab_3" t="t9" name="group_3_taste_radio" type="radio" class=""> <span class="text">喜咸</span></label>
														<label class="col-lg-2"> <input value="2" id="group_3_taste2_radio" tab="tab_3" t="t9" name="group_3_taste_radio" type="radio" class=""> <span class="text">适中</span></label>
														<label class="col-lg-2"> <input value="3" id="group_3_taste3_radio" tab="tab_3" t="t9" name="group_3_taste_radio" type="radio" class=""> <span class="text">偏淡</span></label>
														<label class="col-lg-2"> <input value="4" id="group_3_taste4_radio" tab="tab_3" t="t9" name="group_3_taste_radio" type="radio" class=""> <span class="text">喜甜</span></label>
														<label class="col-lg-2"> <input value="5" id="group_3_taste5_radio" tab="tab_3" t="t9" name="group_3_taste_radio" type="radio" class=""> <span class="text">喜油腻</span></label>
													</div>
												</div>
											</div>
											<div>
												<h4 class="block col-lg-12"><i id="t10" class="fa fa-exclamation-circle"></i>10.您目前的饮用水来源是？</h4>
												<div class="col-lg-12">
													<div class="checkbox  form-group">
														<label class="col-lg-2"> <input tab="tab_3" t="t10"  value="1" id="group_3_ws1_radio" name="group_3_ws_radio" type="radio" class=""> <span class="text">沟潭水</span></label>
														<label class="col-lg-2"> <input tab="tab_3" t="t10"  value="2" id="group_3_ws2_radio" name="group_3_ws_radio" type="radio" class=""> <span class="text">河水</span></label>
														<label class="col-lg-2"> <input tab="tab_3" t="t10"  value="3" id="group_3_ws3_radio" name="group_3_ws_radio" type="radio" class=""> <span class="text">井水</span></label>
														<label class="col-lg-2"> <input tab="tab_3" t="t10"  value="4" id="group_3_ws4_radio" name="group_3_ws_radio" type="radio" class=""> <span class="text">自来水</span></label>
														<label class="col-lg-2"> <input tab="tab_3" t="t10"  value="5" id="group_3_ws5_radio" name="group_3_ws_radio" type="radio" class=""> <span class="text">矿泉水</span></label>
														<label class="col-lg-2"> <input tab="tab_3" t="t10"  value="6" id="group_3_ws6_radio" name="group_3_ws_radio" type="radio" class=""> <span class="text">纯净水</span></label>
														<label class="col-lg-2"> <input tab="tab_3" t="t10"  value="7" id="group_3_ws7_radio" name="group_3_ws_radio" type="radio" class=""> <span class="text">其他</span></label>
													</div>
												</div>
											</div>
											
											<div>
												<h4 class="block col-lg-12"><i id="t11" class="fa fa-exclamation-circle"></i>11.您每天喝水量大约为？</h4>
												<div class="col-lg-12">
													<div class="checkbox  form-group">
														<label class="col-lg-2"> <input tab="tab_3" t="t11"  value="1" id="group_3_wya1_radio" name="group_3_wya_radio" type="radio" class=""> <span class="text"><500ml</span></label>
														<label class="col-lg-2"> <input tab="tab_3" t="t11"  value="2" id="group_3_wya2_radio" name="group_3_wya_radio" type="radio" class=""> <span class="text">500-1000ml</span></label>
														<label class="col-lg-2"> <input tab="tab_3" t="t11"  value="3" id="group_3_wya3_radio" name="group_3_wya_radio" type="radio" class=""> <span class="text">1000-1500ml</span></label>
														<label class="col-lg-2"> <input tab="tab_3" t="t11"  value="4" id="group_3_wya4_radio" name="group_3_wya_radio" type="radio" class=""> <span class="text"><1500ml</span></label>
													</div>
												</div>
											</div>
										
									</div>
									<div class="col-sm-8  col-xs-offset-3 btn-bottm"
										style="padding-top: 25px">
										<button type="button" onclick="back(2)"
											class=" btn btn-darkorange col-sm-2">上一步</button>
										<button type="button" onclick="next(4)"
											class=" btn btn-active col-sm-2 col-xs-offset-3">下一步</button>
									</div>
								</div>

							</section>
							<section name="section" id="sec4" style="display: none;">

								<div class="bancgud row">
									<div class="formfont wjdc_top col-lg-12">
										<img src="${ctx}/dep/img/wenjuan.png"> <span class="No">NO.4</span>
										<span class="inform">个人生活信息</span>
									</div>
									<h4 class="block col-lg-12"><i id="t12" class="fa fa-exclamation-circle"></i>12.您现在吸烟吗？</h4>
									<div class="col-lg-12">
										<div class="checkbox">
											<label class="col-lg-2"> <input tab="tab_4" t="t12"  
												id="group_4_smork1_radio" value="1"
												onclick="sendHead('13,14,15,16,17,18,19,20,21')"
												name="group_4_smork_radio" type="radio"
												data-bv-field="form-field-checkbox"> <span
												class="text" >从不吸烟</span>
											</label> <label class="col-lg-3"> <input tab="tab_4" t="t12"
												id="group_4_smork2_radio" value="2"
												onclick="sendHead('13,14,15,16,17,18')"
												name="group_4_smork_radio" type="radio" class=""
												data-bv-field="form-field-checkbox"> <span
												class="text">以前吸，但现在已经戒烟</span>
											</label> <label class="col-lg-2"> <input tab="tab_4" t="t12"
												id="group_4_smork3_radio" value="3" onclick="sendHead('')"
												name="group_4_smork_radio" type="radio" class=""
												data-bv-field="form-field-checkbox"> <span
												class="text">吸烟</span>
											</label>
										</div>
									</div>
									<div id="group13">
										<h4 class="block col-lg-12">
											<div class="">
												13.您开始吸烟的年龄为&nbsp;<span title="" class="tooltip-f"> <input
													id="group_4_smorkAge_text" type="text"
													class="textbox-text validatebox-text textbox-prompt"
													autocomplete="off" placeholder=""
													style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 50px; text-align: center">
												</span>&nbsp;岁。</span>
											</div>
										</h4>
									</div>
									<div id="group14">
										<h4 class="block col-lg-12">
											<div class="wenjuan-question-tit">
												14.您开始吸烟离现在有&nbsp;<span title="" class="tooltip-f"> <input
													type="text" id="group_4_smorkTime_text"
													class="textbox-text validatebox-text textbox-prompt"
													autocomplete="off" placeholder=""
													style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 50px; text-align: center">
												</span>&nbsp;年。</span>
											</div>
										</h4>
									</div>
									<div id="group15">
										<h4 class="block col-lg-12">15.您吸烟的频率是</h4>
										<div class="col-lg-12">
											<div class="radio  form-group">
												<label class="col-lg-2"> <input
													id="group_4_smorkhz1_radio" value="1"
													name="group_4_smorkhz_radio" type="radio" >
													<span class="text" >每天吸</span></label> <label
													class="col-lg-2"> <input 
													id="group_4_smorkhz2_radio" value="2"
													name="group_4_smorkhz_radio" type="radio" class="">
													<span class="text">经常吸</span></label> <label class="col-lg-2">
													<input id="group_4_smorkhz3_radio" value="3"
													name="group_4_smorkhz_radio" type="radio" class="">
													<span class="text">偶尔吸</span>
												</label>
											</div>
										</div>
									</div>
									<div id="group16">
										<h4 class="block col-lg-12">16.当目前为止，您是否已经吸了100支烟？</h4>
										<div class="col-lg-12">
											<div class="radio  form-group">
												<label class="col-lg-2"> <input 
													id="group_4_smorkOneHundred1_radio" value="1"
													name="group_4_smorkOneHundred_radio" type="radio"
													> <span class="text" >是</span></label>
												<label class="col-lg-2"> <input 
													id="group_4_smorkOneHundred2_radio" value="2"
													name="group_4_smorkOneHundred_radio" type="radio" class="">
													<span class="text">否</span></label>
											</div>
										</div>
									</div>
									<div id="group17">
										<h4 class="block col-lg-12">17.下列烟草，您通常吸多少？</h4>
										<div class="col-lg-12">
											<table class="table table-striped table-hover table-bordered"
												id="bodyHtml">
												<thead>
													<tr role="row">
														<th width="10%"><label> <span><b>烟草类型</b></span>
														</label></th>
														<th width="10%"><label> <span><b>吸烟频率（选择一项）</b></span><br>
														</label></th>
														<th width="10%"><label> <span><b>吸入（支）</b></span><br>
														</label></th>
														<th width="10%"><label> <span><b>烟草类型</b></span>
														</label></th>
														<th width="10%"><label> <span><b>吸烟频率（选择一项）</b></span><br>
														</label></th>
														<th width="10%"><label> <span><b>吸入（支）</b></span><br>
														</label></th>
													</tr>
												</thead>
												<tbody>
													<tr>
														<td width="10%"><label>机制卷烟</label></td>
														<td width="15%">
															<div class="radio">
																<label class="col-lg-6"> <input
																	id="group_4_jyan1_radio" value="1"
																	name="group_4_jyan_radio" type="radio"> <span
																	class="text" >每天</span></label> <label
																	class="col-lg-6"> <input
																	id="group_4_jyan2_radio" value="2"
																	name="group_4_jyan_radio" type="radio" class="">
																	<span class="text">每周</span></label>
															</div>
														</td>
														<td width="15%">
															<div class="form-group">
																<div class="col-lg-2"></div>
																<div class="col-lg-8">
																	<input type="text" id="group_4_jyanNum_text"
																		class="form-control">
																</div>
																<div class="col-lg-2"></div>
															</div>
														</td>
														<td width="5%"><label>雪茄</label></td>
														<td width="15%">
															<div class="radio">
																<label class="col-lg-6"> <input
																	id="group_4_cigar1_radio" value="1"
																	name="group_4_cigar_radio" type="radio"> <span
																	class="text" >每天</span></label> <label
																	class="col-lg-6"> <input
																	id="group_4_cigar2_radio" value="2"
																	name="group_4_cigar_radio" type="radio" class="">
																	<span class="text">每周</span></label>
															</div>
														</td>
														<td width="15%">
															<div class="form-group">
																<div class="col-lg-2"></div>
																<div class="col-lg-8">
																	<input type="text" id="group_4_cigarNum_text"
																		class="form-control">
																</div>
																<div class="col-lg-2"></div>
															</div>
														</td>
													</tr>

													<tr>
														<td width="10%"><label>手卷烟</label></td>
														<td width="15%">
															<div class="radio">
																<label class="col-lg-6"> <input
																	id="group_4_selfCigar1_radio" value="1"
																	name="group_4_selfCigar_radio" type="radio"> <span
																	class="text" >每天</span></label> <label
																	class="col-lg-6"> <input
																	id="group_4_selfCigar2_radio" value="2"
																	name="group_4_selfCigar_radio" type="radio" class="">
																	<span class="text">每周</span></label>
															</div>
														</td>
														<td width="15%">
															<div class="form-group">
																<div class="col-lg-2"></div>
																<div class="col-lg-8">
																	<input id="group_4_selfCigarNum_text" type="text"
																		class="form-control">
																</div>
																<div class="col-lg-2"></div>
															</div>
														</td>
														<td width="5%"><label>电子烟</label></td>
														<td width="15%">
															<div class="radio">
																<label class="col-lg-6"> <input
																	id="group_4_eCigar1_radio" value="1"
																	name="group_4_eCigar_radio" type="radio"> <span
																	class="text" >每天</span></label> <label
																	class="col-lg-6"> <input
																	id="group_4_eCigar2_radio" value="2"
																	name="group_4_eCigar_radio" type="radio" class="">
																	<span class="text">每周</span></label>
															</div>
														</td>
														<td width="15%">
															<div class="form-group">
																<div class="col-lg-2"></div>
																<div class="col-lg-8">
																	<input id="group_4_eCigar_text" type="text"
																		class="form-control">
																</div>
																<div class="col-lg-2"></div>
															</div>
														</td>
													</tr>
													<tr>
														<td width="10%"><label>旱烟/烟斗</label></td>
														<td width="15%">
															<div class="radio">
																<label class="col-lg-6"> <input
																	id="group_4_tobacco1_radio" value="1"
																	name="group_4_tobacco_radio" type="radio"> <span
																	class="text" >每天</span></label> <label
																	class="col-lg-6"> <input
																	id="group_4_tobacco2_radio" value="2"
																	name="group_4_tobacco_radio" type="radio" class="">
																	<span class="text">每周</span></label>
															</div>
														</td>
														<td width="15%">
															<div class="form-group">
																<div class="col-lg-2"></div>
																<div class="col-lg-8">
																	<input id="group_4_tobacco2_text" type="text"
																		class="form-control">
																</div>
																<div class="col-lg-2"></div>
															</div>
														</td>
														<td width="5%"><label>其它</label></td>
														<td width="15%">
															<div class="radio">
																<label class="col-lg-6"> <input
																	id="group_4_smorkOther1_radio" value="1"
																	name="group_4_smorkOther_radio" type="radio"> <span
																	class="text" >每天</span></label> <label
																	class="col-lg-6"> <input
																	id="group_4_smorkOther2_radio" value="2"
																	name="group_4_smorkOther_radio" type="radio" class="">
																	<span class="text">每周</span></label>
															</div>
														</td>
														<td width="15%">
															<div class="form-group">
																<div class="col-lg-2"></div>
																<div class="col-lg-8">
																	<input id="group_4_smorkOther_text" type="text"
																		class="form-control">
																</div>
																<div class="col-lg-2"></div>
															</div>
														</td>
													</tr>
												</tbody>
											</table>
										</div>
									</div>
									<div id="group18">
										<h4 class="block col-lg-12">
											<div class="">
												18.您平均每天吸&nbsp;<span title="" class="tooltip-f"> <input
													id="group_4_smorkOneDay_text" type="text"
													class="textbox-text validatebox-text textbox-prompt"
													autocomplete="off" placeholder=""
													style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 50px; text-align: center">

												</span>&nbsp;支烟（戒烟者填写成功戒烟前的平均吸烟支数）。</span>
											</div>
									</div>
									<div id="group19">
										<h4 class="block col-lg-12">
											<div class="">
												19.您开始戒烟的年龄为&nbsp;<span title="" class="tooltip-f"> <input
													id="group_4_smorkQuitAge_text" type="text"
													class="textbox-text validatebox-text textbox-prompt"
													autocomplete="off" placeholder=""
													style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 50px; text-align: center">
												</span>&nbsp;岁。</span>
											</div>
									</div>
									<div id="group20">
										<h4 class="block col-lg-12">20.您是否有过反复戒烟经历？</h4>
										<div class="col-lg-12">
											<div class="checkbox  form-group">
												<label class="col-lg-2"> <input
													id="group_4_smorkOverQuit1_radio" value="1"
													name="group_4_smorkOverQuit_radio" type="radio" class="">
													<span class="text">否</span></label> <label class="col-lg-2">
													<input id="group_4_smorkOverQuit2_radio" value="2"
													name="group_4_smorkOverQuit_radio" type="radio" class="">
													<span class="text">是</span>
												</label>
											</div>
										</div>
									</div>
									<div id="group21">
										<h4 class="block col-lg-12">21.您戒烟的最主要原因是？</h4>
										<div class="col-lg-12">
											<div class="radio  form-group">
												<label class="col-lg-2"> <input
													id="group_4_smorkQuitMain1_radio" value="1"
													name="group_4_smorkQuitMain_radio" type="radio"> <span
													class="text">身有疾患</span></label> <label class="col-lg-2"> <input
													id="group_4_smorkQuitMain2_radio" value="2"
													name="group_4_smorkQuitMain_radio" type="radio" class="">
													<span class="text">未来健康考虑</span>
												</label> <label class="col-lg-2"> <input
													id="group_4_smorkQuitMain3_radio" value="3"
													name="group_4_smorkQuitMain_radio" type="radio" class="">
													<span class="text">家人反对</span></label> <label class="col-lg-2">
													<input id="group_4_smorkQuitMain4_radio" value="4"
													name="group_4_smorkQuitMain_radio" type="radio" class="">
													<span class="text">医生建议</span>
												</label> <label class="col-lg-2"> <input
													id="group_4_smorkQuitMain5_radio" value="5"
													name="group_4_smorkQuitMain_radio" type="radio" class="">
													<span class="text">其它</span></label>

											</div>
										</div>
									</div>
									<h4 class="block col-lg-12">22.和您一起生活或工作的人中是否有人吸烟？</h4>
									<div class="col-lg-6">
										<div class="radio  form-group">
											<label> <input id="group_4_drink1_radio" value="1"
												name="group_4_drink_radio" type="radio"> <span
												class="text">是</span></label> <label class=""> <input
												id="group_4_drink2_radio" value="2"
												name="group_4_drink_radio" type="radio" class=""> <span
												class="text">否</span></label>
										</div>
									</div>
									<h4 class="block col-lg-12">23.您是否经常吸入吸烟者呼出的烟雾(被动吸烟)超过15分钟/天？</h4>
									<div class="col-lg-10">
										<div class="radio  form-group">
											<label> <input value="1" id="group_4_drinkDay1_radio"
												name="group_4_drinkDay_radio" type="radio"> <span
												class="text">几乎每天</span></label> <label> <input value="2"
												id="group_4_drinkDay2_radio" name="group_4_drinkDay_radio"
												type="radio" class=""> <span class="text">平均每周4~5天</span></label>
											<label> <input value="3" id="group_4_drinkDay3_radio"
												name="group_4_drinkDay_radio" type="radio"> <span
												class="text">平均每周1~3天</span></label> <label> <input
												value="4" id="group_4_drinkDay4_radio"
												name="group_4_drinkDay_radio" type="radio" class="">
												<span class="text">否</span></label> <label> <input value="5"
												id="group_4_drinkDay5_radio" name="group_4_drinkDay_radio"
												type="radio"> <span class="text">是（继续回答第24题）</span></label>
										</div>
									</div>

									<h4 class="block col-lg-12"><i id="t24" class="fa fa-exclamation-circle"></i>24.您喝过酒吗？</h4>
									<div class="col-lg-10">
										<div class="radio  form-group">
											<label> <input onclick="showdrink43()" value="1"
												id="group_4_beforeDrink1_radio" tab="tab_4" t="t24"
												name="group_4_beforeDrink_radio" type="radio"> <span
												class="text">喝过酒</span></label> <label class=""> <input
												onclick="drink43()" value="2" tab="tab_4" t="t24"
												id="group_4_beforeDrink2_radio"
												name="group_4_beforeDrink_radio" type="radio" class="">
												<span class="text">从来不喝（跳到35题）</span></label>
										</div>
									</div>
									<div class="que_end_43">
										<h4 class="block col-lg-12">25.近1个月是否喝酒？</h4>
										<div class="col-lg-10">
											<div class="radio  form-group">
												<label> <input value="1"
													id="group_4_beforeMonthDrink1_radio"
													name="group_4_beforeMonthDrink_radio" type="radio">
													<span class="text">是</span></label> <label> <input
													value="2" id="group_4_beforeMonthDrink2_radio"
													name="group_4_beforeMonthDrink_radio" type="radio" class="">
													<span class="text">否</span></label>
											</div>
										</div>
										<h4 class="block col-lg-12">26.在过去的1年，您一般多长时间喝一次酒？</h4>
										<div class="col-lg-12">
											<div class="radio  form-group">
												<label class="col-lg-2"> <input value="1"
													id="group_4_beforeYearDrink1_radio"
													name="group_4_beforeYearDrink_radio" type="radio">
													<span class="text">几乎每天2次</span></label> <label class="col-lg-2">
													<input value="2" id="group_4_beforeYearDrink2_radio"
													name="group_4_beforeYearDrink_radio" type="radio" class="">
													<span class="text">几乎每天1次</span>
												</label> <label class="col-lg-2"> <input value="3"
													id="group_4_beforeYearDrink3_radio"
													name="group_4_beforeYearDrink_radio" type="radio">
													<span class="text">每周3-4次</span></label> <label class="col-lg-2">
													<input value="4" id="group_4_beforeYearDrink4_radio"
													name="group_4_beforeYearDrink_radio" type="radio" class="">
													<span class="text">每周1-2次</span>
												</label> <label class="col-lg-3"> <input value="5"
													id="group_4_beforeYearDrink5_radio"
													name="group_4_beforeYearDrink_radio" type="radio">
													<span class="text">每周至少一次（跳至第46题）</span></label> <label
													class="col-lg-1"> <input value="6"
													id="group_4_beforeYearDrink6_radio"
													name="group_4_beforeYearDrink_radio" type="radio" class="">
													<span class="text">否</span></label>
											</div>
										</div>
										<h4 class="block col-lg-12">
											<div class="">
												27.您从&nbsp;<span title="" class="tooltip-f"> <input
													id="group_4_startDrink_text" type="text"
													class="textbox-text validatebox-text textbox-prompt"
													autocomplete="off" placeholder=""
													style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 50px; text-align: center">
												</span>&nbsp;岁开始，每周都饮酒。</span>
											</div>
											<h4 class="block col-lg-12">28.您饮酒时的饮酒种类和次饮酒量是？</h4>
											<div class="col-lg-12">
												<table
													class="table table-striped table-hover table-bordered"
													id="bodyHtml">
													<thead>
														<tr role="row">
															<th width="5%"><label> <span><b>类型</b></span>
															</label></th>
															<th width="10%"><label> <span><b>通常情况</b></span><br>
																	<span style="color: #aaa">（仅选择一种）</span>
															</label></th>
															<th width="10%"><label> <span><b>特殊日子</b></span><br>
																	<span style="color: #aaa">（如宴请、聚会、需大量饮酒）</span>
															</label></th>
															<th width="16%"><label> <span><b>最近一次</b></span>
															</label></th>

														</tr>
													</thead>
													<tbody>
														<tr>
															<td width="15%"><label> <span>
																		啤酒（1大瓶=2小瓶） </span>
															</label></td>
															<td width="15%">
																<div class="col-lg-2"></div>
																<div class="col-lg-7">
																	<input type="text" id="group_4_beerDrink_text"
																		class="form-control">
																</div> <label style="line-height: 30px">大瓶</label>
															</td>
															<td width="15%">
																<div class="col-lg-2"></div>
																<div class="col-lg-7">
																	<input type="text" id="group_4_beerSpecialDrink_text"
																		class="form-control">
																</div> <label style="line-height: 30px">大瓶</label>
															</td>
															<td width="15%">
																<div class="col-lg-2"></div>
																<div class="col-lg-7">
																	<input type="text" id="group_4_beerlastDrink_text"
																		class="form-control">
																</div> <label style="line-height: 30px">大瓶</label>
															</td>

														</tr>
														<tr>
															<td width="15%"><label> <span class="text">米酒或黄酒</span>
															</label></td>
															<td width="15%">
																<div class="col-lg-2"></div>
																<div class="col-lg-7">
																	<input type="text" id="group_4_riceWineDrink_text"
																		class="form-control">
																</div> <label style="line-height: 30px">两</label>
															</td>
															<td width="15%">
																<div class="col-lg-2"></div>
																<div class="col-lg-7">
																	<input type="text"
																		id="group_4_riceWineSpecialDrink_text"
																		class="form-control">
																</div> <label style="line-height: 30px">两</label>
															</td>
															<td width="15%">
																<div class="col-lg-2"></div>
																<div class="col-lg-7">
																	<input type="text" id="group_4_riceWinelastDrink_text"
																		class="form-control">
																</div> <label style="line-height: 30px">两</label>
															</td>

														</tr>
														<tr>
															<td width="15%"><label style="line-height: 30px">葡萄酒</label>
															</td>
															<td width="15%">
																<div class="col-lg-2"></div>
																<div class="col-lg-7">
																	<input id="group_4_grapeDrink_text" type="text"
																		class="form-control">
																</div> <label style="line-height: 30px">两</label>
															</td>
															<td width="15%">
																<div class="col-lg-2"></div>
																<div class="col-lg-7">
																	<input id="group_4_grapeSpecialDrink_text" type="text"
																		class="form-control">
																</div> <label style="line-height: 30px">两</label>
															</td>
															<td width="15%">
																<div class="col-lg-2"></div>
																<div class="col-lg-7">
																	<input id="group_4_grapelastDrink_text" type="text"
																		class="form-control">
																</div> <label style="line-height: 30px">两</label>
															</td>
														</tr>
														<tr>
															<td width="5%"><label> <span class="text">白酒（>=50度）</span>
															</label></td>
															<td width="15%">
																<div class="col-lg-2"></div>
																<div class="col-lg-7">
																	<input id="group_4_whiteDrink_text" type="text"
																		class="form-control">
																</div> <label style="line-height: 30px">两</label>
															</td>
															<td width="15%">
																<div class="col-lg-2"></div>
																<div class="col-lg-7">
																	<input id="group_4_whiteSpecialDrink_text" type="text"
																		class="form-control">
																</div> <label style="line-height: 30px">两</label>
															</td>
															<td width="15%">
																<div class="col-lg-2"></div>
																<div class="col-lg-7">
																	<input id="group_4_whitelastDrink_text" type="text"
																		class="form-control">
																</div> <label style="line-height: 30px">两</label>
															</td>

														</tr>
														<tr>
															<td width="5%"><label> <span class="text">白酒（<50度）</span>
															</label></td>
															<td width="10%">
																<div class="col-lg-2"></div>
																<div class="col-lg-7">
																	<input id="group_4_hwhiteDrink_text" type="text"
																		class="form-control">
																</div> <label style="line-height: 30px">两</label>
															</td>
															<td width="10%">
																<div class="col-lg-2"></div>
																<div class="col-lg-7">
																	<input id="group_4_hwhiteSpecialDrink_text" type="text"
																		class="form-control">
																</div> <label style="line-height: 30px">两</label>
															</td>
															<td width="8%">
																<div class="col-lg-2"></div>
																<div class="col-lg-7">
																	<input id="group_4_hwhitelastDrink_text" type="text"
																		class="form-control">
																</div> <label style="line-height: 30px">两</label>
															</td>

														</tr>

													</tbody>
												</table>
											</div>
											<h4 class="block col-lg-12">29.通常您的饮酒方式是？</h4>
											<div class="col-lg-12">
												<div class="radio  form-group">
													<label class="col-lg-2"> <input
														id="group_4_drinkStyle1_radio" value="1"
														name="group_4_drinkStyle_radio" type="radio"> <span
														class="text">吃饭时饮酒</span></label> <label class="col-lg-2">
														<input id="group_4_drinkStyle2_radio" value="2"
														name="group_4_drinkStyle_radio" type="radio" class="">
														<span class="text">饭间或饭后饮酒</span>
													</label> <label class="col-lg-2"> <input
														id="group_4_drinkStyle3_radio" value="3"
														name="group_4_drinkStyle_radio" type="radio"> <span
														class="text">没有规律</span></label>
												</div>
											</div>
											<h4 class="block col-lg-12">30.您饮酒后是否感觉浑身发热或头晕？</h4>
											<div class="col-lg-12">
												<div class="radio  form-group">
													<label class="col-lg-2"> <input value="1"
														id="group_4_drinkReaction1_radio"
														name="group_4_drinkReaction_radio" type="radio"> <span
														class="text">是，喝第一口就开始</span></label> <label class="col-lg-2">
														<input value="2" id="group_4_drinkReaction2_radio"
														name="group_4_drinkReaction_radio" type="radio" class="">
														<span class="text">是，喝少量酒后开始</span>
													</label> <label class="col-lg-2"> <input value="3"
														id="group_4_drinkReaction3_radio"
														name="group_4_drinkReaction_radio" type="radio"> <span
														class="text">是，喝大量酒才开始</span></label> <label class="col-lg-2">
														<input value="4" id="group_4_drinkReaction4_radio"
														name="group_4_drinkReaction_radio" type="radio"> <span
														class="text">否</span>
													</label>

												</div>
											</div>
											<h4 class="block col-lg-12">31.近1个月，您饮酒的频率是：</h4>
											<div class="col-lg-12">
												<div class="radio  form-group">
													<label class="col-lg-2"> <input value="1"
														id="group_4_drinkMonthMorning1_radio"
														name="group_4_drinkMonthMorning_radio" type="radio">
														<span class="text">从不</span></label> <label cclass="col-lg-2">
														<input value="2" id="group_4_drinkMonthMorning2_radio"
														name="group_4_drinkMonthMorning_radio" type="radio"
														class=""> <span class="text">每周至少1天</span>
													</label> <label class="col-lg-2"> <input value="3"
														id="group_4_drinkMonthMorning3_radio"
														name="group_4_drinkMonthMorning_radio" type="radio">
														<span class="text">每周有几天</span></label> <label class="col-lg-2">
														<input value="4" id="group_4_drinkMonthMorning4_radio"
														name="group_4_drinkMonthMorning_radio" type="radio">
														<span class="text">每天或者几乎每天</span>
													</label>
												</div>
											</div>
											<h4 class="block col-lg-12">32.近1个月，您是否有以下经历：</h4>
											<div class="col-lg-12">
												<div class="radio  ">
													<div class="form-group">
														<label class="col-lg-4"><span class="text">a.因为饮酒无法工作，或无法做任何事情？</span></label>
														<label class="col-lg-2"> <input value="1" 
															id="group_4_drinkForNoWork1_radio"
															name="group_4_drinkForNoWork_radio" type="radio">
															<span class="text">是</span></label> <label class="col-lg-2">
															<input value="2" id="group_4_drinkForNoWork2_radio"
															name="group_4_drinkForNoWork_radio" type="radio">
															<span class="text">否</span>
														</label>
													</div>
													<div class="form-group">
														<label class="col-lg-4"><span class="text">b.饮酒后感觉沮丧、愤怒而无法控制自己？</span></label>
														<label class="col-lg-2"> <input value="1"
															id="group_4_drinkForFree1_radio"
															name="group_4_drinkForFree_radio" type="radio"> <span
															class="text">是</span></label> <label class="col-lg-2"> <input
															value="2" id="group_4_drinkForFree2_radio"
															name="group_4_drinkForFree_radio" type="radio"> <span
															class="text">否</span>
														</label>
													</div>
													<div class="form-group">
														<label class="col-lg-4"><span class="text">c.无法停止饮酒？</span></label>
														<label class="col-lg-2"> <input value="1"
															id="group_4_drinkNoStop1_radio"
															name="group_4_drinkNoStop_radio" type="radio"> <span
															class="text">是</span></label> <label class="col-lg-2"><input
															value="2" id="group_4_drinkNoStop2_radio"
															name="group_4_drinkNoStop_radio" type="radio"> <span
															class="text">否</span></label>
													</div>
													<div class='form-group'>
														<label class="col-lg-4"><span class="text">d.停止饮酒后震颤？</span></label>
														<label class="col-lg-2"> <input value="1"
															id="group_4_drinkTremble1_radio"
															name="group_4_drinkTremble_radio" type="radio"> <span
															class="text">是</span></label> <label class="col-lg-2"> <input
															value="2" id="group_4_drinkTremble2_radio"
															name="group_4_drinkTremble_radio" type="radio"> <span
															class="text">否</span>
														</label>
													</div>
												</div>
											</div>
											<h4 class="block col-lg-12">33.您经常喝醉吗？</h4>
											<div class="col-lg-12">
												<div class="radio  form-group">
													<label class="col-lg-2"> <input value="1"
														id="group_4_liquor1_radio" name="group_4_liquor_radio"
														type="radio"> <span class="text">几乎每天1次</span></label> <label
														class="col-lg-2"> <input value="2"
														id="group_4_liquor2_radio" name="group_4_liquor_radio"
														type="radio" class=""> <span class="text">每周1次</span></label>
													<label class="col-lg-2"> <input value="3"
														id="group_4_liquor3_radio" name="group_4_liquor_radio"
														type="radio"> <span class="text">每周有几天</span></label> <label
														class="col-lg-2"> <input value="4"
														id="group_4_liquor4_radio" name="group_4_liquor_radio"
														type="radio"> <span class="text">每天或者几乎每天</span></label>
												</div>
											</div>
											<h4 class="block col-lg-12">34.与几年前比，您的饮酒量的变化？</h4>
											<div class="col-lg-12">
												<div class="radio  form-group">
													<label class="col-lg-2"> <input value="1"
														id="group_4_capacityUp1_radio"
														name="group_4_capacityUp_radio" type="radio"> <span
														class="text">几乎没有变化</span></label> <label class="col-lg-2">
														<input value="2" id="group_4_capacityUp2_radio"
														name="group_4_capacityUp_radio" type="radio" class="">
														<span class="text">大大增加</span>
													</label> <label class="col-lg-2"> <input value="3"
														id="group_4_capacityUp3_radio"
														name="group_4_capacityUp_radio" type="radio"> <span
														class="text">大大减少</span></label>
												</div>
											</div>
									</div>
									
									<h4 class="block col-lg-12">35.偶尔熬夜？</h4>
											<div class="col-lg-12">
												<div class="radio  form-group">
													<label class="col-lg-2"> <input value="1"
														id="group_4_occasionallyOil1_radio"
														name="group_4_occasionallyOil_radio" type="radio"> <span
														class="text">一般</span></label> <label class="col-lg-2">
														<input value="2" id="group_4_occasionallyOil2_radio"
														name="group_4_occasionallyOil_radio" type="radio" class="">
														<span class="text">否</span>
													</label> <label class="col-lg-2"> <input value="3"
														id="group_4_occasionallyOil3_radio"
														name="group_4_occasionallyOil_radio" type="radio"> <span
														class="text">是</span></label>
												</div>
											</div>
											
									<h4 class="block col-lg-12">36.经常熬夜？</h4>
											<div class="col-lg-12">
												<div class="radio  form-group">
													<label class="col-lg-2"> <input value="1"
														id="group_4_oftenOil1_radio"
														name="group_4_oftenOil_radio" type="radio"> <span
														class="text">一般</span></label> <label class="col-lg-2">
														<input value="2" id="group_4_oftenOil2_radio"
														name="group_4_oftenOil_radio" type="radio" class="">
														<span class="text">否</span>
													</label> <label class="col-lg-2"> <input value="3"
														id="group_4_oftenOil3_radio"
														name="group_4_oftenOil_radio" type="radio"> <span
														class="text">是</span></label>
												</div>
											</div>
									
									<h4 class="block col-lg-12"><i id="t35" class="fa fa-exclamation-circle"></i>37.过去一个月，您的总体睡眠质量如何？</h4>
									<div class="col-lg-12">
										<div class="radio  form-group">
											<label class="col-lg-2"> <input value="1" tab="tab_4" t="t35"
												id="group_4_sleepMain1_radio" name="group_4_sleepMain_radio"
												type="radio"> <span class="text">非常好</span></label> <label
												class="col-lg-2"> <input value="2" tab="tab_4" t="t35"
												id="group_4_sleepMain2_radio" name="group_4_sleepMain_radio"
												type="radio" class=""> <span class="text">尚好</span></label>
											<label class="col-lg-2"> <input value="3" tab="tab_4" t="t35"
												id="group_4_sleepMain3_radio" name="group_4_sleepMain_radio"
												type="radio"> <span class="text">不好</span></label> <label
												class="col-lg-2"> <input value="4" tab="tab_4" t="t35"
												id="group_4_sleepMain4_radio" name="group_4_sleepMain_radio"
												type="radio"> <span class="text">非常差</span></label>
										</div>
									</div>
									<h4 class="block col-lg-12">
										38.过去一个月您每天平均的实际睡眠时间有 <select id="group_4_sleepEven_select"
											style="padding: 0 12px">
											<option value="1">1</option>
											<option value="2">2</option>
											<option value="3">3</option>
											<option value="4">4</option>
											<option value="5">5</option>
											<option value="6">6</option>
											<option value="7">7</option>
											<option value="8">8</option>
											<option value="9">9</option>
											<option value="10">10</option>
										</select> 小时
									</h4>

									<h4 class="block col-lg-12">39.过去一个月，您是否要服药（包括医生开的处方和自购药物）才能入睡？</h4>
									<div class="col-lg-12">
										<div class="radio  form-group">
											<label class="col-lg-2"> <input value="1"
												id="group_4_sleepMonthByDrug1_radio"
												name="group_4_sleepMonthByDrug_radio" type="radio">
												<span class="text">不用服用</span></label> <label class="col-lg-2">
												<input value="2" id="group_4_sleepMonthByDrug2_radio"
												name="group_4_sleepMonthByDrug_radio" type="radio" class="">
												<span class="text">平均每周不足1次</span>
											</label> <label class="col-lg-2"> <input value="3"
												id="group_4_sleepMonthByDrug3_radio"
												name="group_4_sleepMonthByDrug_radio" type="radio">
												<span class="text">平均每周1或2次</span></label> <label class="col-lg-2">
												<input value="4" id="group_4_sleepMonthByDrug4_radio"
												name="group_4_sleepMonthByDrug_radio" type="radio">
												<span class="text">平均每周3次或更多</span>
											</label>
										</div>
									</div>
									<h4 class="block col-lg-12"><i id="t38" class="fa fa-exclamation-circle"></i>40.过去一个月，您是否有过多梦或易惊醒？</h4>
									<div class="col-lg-12">
										<div class="radio  form-group">
											<label class="col-lg-2"> <input value="1" tab="tab_4" t="t38"
												id="group_4_sleepLightly1_radio"
												name="group_4_sleepLightly_radio" type="radio"> <span
												class="text">是</span></label> <label class="col-lg-2"> <input
												value="2" id="group_4_sleepLightly2_radio" tab="tab_4" t="t38"
												name="group_4_sleepLightly_radio" type="radio" class="">
												<span class="text">否</span></label>
										</div>
									</div>
									<h4 class="block col-lg-12"><i id="t39" class="fa fa-exclamation-circle"></i>41.我很快乐</h4>
									<div class="col-lg-12">
										<div class="radio  form-group">
											<label class="col-lg-2"> <input value="1"
												id="group_4_IFreeHappy1_radio" tab="tab_4" t="t39"
												name="group_4_IFreeHappy_radio" type="radio"> <span
												class="text">完全不符合</span></label> <label class="col-lg-2"> <input
												value="2" id="group_4_IFreeHappy2_radio" tab="tab_4" t="t39"
												name="group_4_IFreeHappy_radio" type="radio" class="">
												<span class="text">比较不符合</span></label> <label class="col-lg-2">
												<input value="3" id="group_4_IFreeHappy3_radio" tab="tab_4" t="t39"
												name="group_4_IFreeHappy_radio" type="radio"> <span
												class="text">一般</span>
											</label> <label class="col-lg-2"> <input value="4" tab="tab_4" t="t39"
												id="group_4_IFreeHappy4_radio"
												name="group_4_IFreeHappy_radio" type="radio"> <span
												class="text">比较符合</span></label> <label class="col-lg-2"> <input
												value="5" id="group_4_IFreeHappy5_radio" tab="tab_4" t="t39"
												name="group_4_IFreeHappy_radio" type="radio"> <span
												class="text">完全符合</span></label>
										</div>
									</div>
									<h4 class="block col-lg-12"><i id="t40" class="fa fa-exclamation-circle"></i>42.我对未来充满希望</h4>
									<div class="col-lg-12">
										<div class="radio  form-group">
											<label class="col-lg-2"> <input value="1" tab="tab_4" t="t40"
												id="group_4_IForHope1_radio" name="group_4_IForHope_radio"
												type="radio"> <span class="text">完全不符合</span></label> <label
												class="col-lg-2"> <input value="2" tab="tab_4" t="t40"
												id="group_4_IForHope2_radio" name="group_4_IForHope_radio"
												type="radio" class=""> <span class="text">比较不符合</span></label>
											<label class="col-lg-2"> <input value="3" tab="tab_4" t="t40"
												id="group_4_IForHope3_radio" name="group_4_IForHope_radio"
												type="radio"> <span class="text">一般</span></label> <label
												class="col-lg-2"> <input value="4" tab="tab_4" t="t40"
												id="group_4_IForHope4_radio" name="group_4_IForHope_radio"
												type="radio"> <span class="text">比较符合</span></label> <label
												class="col-lg-2"> <input value="5" tab="tab_4" t="t40"
												id="group_4_IForHope5_radio" name="group_4_IForHope_radio"
												type="radio"> <span class="text">完全符合</span></label>
										</div>
									</div>
									<h4 class="block col-lg-12"><i id="t41" class="fa fa-exclamation-circle"></i>43.即使家人或朋友帮助，我也不能摆脱忧伤</h4>
									<div class="col-lg-12">
										<div class="radio  form-group">
											<label class="col-lg-2"> <input value="1" tab="tab_4" t="t41"
												id="group_4_distressed1_radio"
												name="group_4_distressed_radio" type="radio"> <span
												class="text">完全不符合</span></label> <label class="col-lg-2"> <input
												value="2" id="group_4_distressed2_radio" tab="tab_4" t="t41"
												name="group_4_distressed_radio" type="radio" class="">
												<span class="text">比较不符合</span></label> <label class="col-lg-2">
												<input value="3" id="group_4_distressed3_radio" tab="tab_4" t="t41"
												name="group_4_distressed_radio" type="radio"> <span
												class="text">一般</span>
											</label> <label class="col-lg-2"> <input value="4"
												id="group_4_distressed4_radio" tab="tab_4" t="t41"
												name="group_4_distressed_radio" type="radio"> <span
												class="text">比较符合</span></label> <label class="col-lg-2"> <input
												value="5" id="group_4_distressed5_radio" tab="tab_4" t="t41"
												name="group_4_distressed_radio" type="radio"> <span
												class="text">完全符合</span></label>
										</div>
									</div>
									<h4 class="block col-lg-12"><i id="t42" class="fa fa-exclamation-circle"></i>44.我感觉孤独</h4>
									<div class="col-lg-12">
										<div class="radio  form-group">
											<label class="col-lg-2"> <input value="1" tab="tab_4" t="t42"
												id="group_4_lonely1_radio" name="group_4_lonely_radio"
												type="radio"> <span class="text">完全不符合</span></label> <label
												class="col-lg-2"> <input value="2" tab="tab_4" t="t42"
												id="group_4_lonely2_radio" name="group_4_lonely_radio"
												type="radio"> <span class="text">比较不符合</span></label> <label
												class="col-lg-2"> <input value="3" tab="tab_4" t="t42"
												id="group_4_lonely3_radio" name="group_4_lonely_radio"
												type="radio"> <span class="text">一般</span></label> <label
												class="col-lg-2"> <input value="4" tab="tab_4" t="t42"
												id="group_4_lonely4_radio" name="group_4_lonely_radio"
												type="radio"> <span class="text">比较符合</span></label> <label
												class="col-lg-2"> <input value="5" tab="tab_4" t="t42"
												id="group_4_lonely5_radio" name="group_4_lonely_radio"
												type="radio"> <span class="text">完全符合</span></label>
										</div>
									</div>

									<div class="question_43">
										<h4 class="block col-lg-12"><i id="t43" class="fa fa-exclamation-circle"></i>45.我经常感觉压抑或沮丧</h4>
										<div class="col-lg-12">
											<div class="radio  form-group">
												<label class="col-lg-2"> <input value="1" tab="tab_4" t="t43"
													id="group_4_depress1_radio" name="group_4_depress_radio"
													type="radio"> <span class="text">完全不符合</span></label> <label
													class="col-lg-2"> <input value="2" tab="tab_4" t="t43"
													id="group_4_depress2_radio" name="group_4_depress_radio"
													type="radio" class=""> <span class="text">比较不符合</span></label>
												<label class="col-lg-2"> <input value="3" tab="tab_4" t="t43"
													id="group_4_depress3_radio" name="group_4_depress_radio"
													type="radio"> <span class="text">一般</span></label> <label
													class="col-lg-2"> <input value="4" tab="tab_4" t="t43"
													id="group_4_depress4_radio" name="group_4_depress_radio"
													type="radio"> <span class="text">比较符合</span></label> <label
													class="col-lg-2"> <input value="5" tab="tab_4" t="t43"
													id="group_4_depress5_radio" name="group_4_depress_radio"
													type="radio"> <span class="text">完全符合</span></label>
											</div>
										</div>
									</div>


									<div id="neverDrink">
										<h4 class="block col-lg-12"><i id="t44" class="fa fa-exclamation-circle"></i>46.我容易情绪激动</h4>
										<div class="col-lg-12">
											<div class="radio  form-group">
												<label class="col-lg-2"> <input value="1" tab="tab_4" t="t44"
													id="group_4_rage1_radio" name="group_4_rage_radio"
													type="radio"> <span class="text">完全不符合</span></label> <label
													class="col-lg-2"> <input value="2" tab="tab_4" t="t44"
													id="group_4_rage2_radio" name="group_4_rage_radio"
													type="radio"> <span class="text">比较不符合</span></label> <label
													class="col-lg-2"> <input value="3" tab="tab_4" t="t44"
													id="group_4_rage3_radio" name="group_4_rage_radio"
													type="radio"> <span class="text">一般</span></label> <label
													class="col-lg-2"> <input value="4" tab="tab_4" t="t44"
													id="group_4_rage4_radio" name="group_4_rage_radio"
													type="radio"> <span class="text">比较符合</span></label> <label
													class="col-lg-2"> <input value="5" tab="tab_4" t="t44"
													id="group_4_rage5_radio" name="group_4_rage_radio"
													type="radio"> <span class="text">完全符合</span></label>
											</div>
										</div>
										<h4 class="block col-lg-12"><i id="t45" class="fa fa-exclamation-circle"></i>47.我生活很紧张</h4>
										<div class="col-lg-12">
											<div class="radio  form-group">
												<label class="col-lg-2"> <input value="1" tab="tab_4" t="t45"
													id="group_4_strain1_radio" name="group_4_strain_radio"
													type="radio"> <span class="text">完全不符合</span></label> <label
													class="col-lg-2"> <input value="2" tab="tab_4" t="t45"
													id="group_4_strain2_radio" name="group_4_strain_radio"
													type="radio" class=""> <span class="text">比较不符合</span></label>
												<label class="col-lg-2"> <input value="3" tab="tab_4" t="t45"
													id="group_4_strain3_radio" name="group_4_strain_radio"
													type="radio"> <span class="text">一般</span></label> <label
													class="col-lg-2"> <input value="4" tab="tab_4" t="t45"
													id="group_4_strain4_radio" name="group_4_strain_radio"
													type="radio"> <span class="text">比较符合</span></label> <label
													class="col-lg-2"> <input value="5" tab="tab_4" t="t45"
													id="group_4_strain5_radio" name="group_4_strain_radio"
													type="radio"> <span class="text">完全符合</span></label>
											</div>
										</div>
										<div class="question_46">
											<h4 class="block col-lg-12"><i id="t46" class="fa fa-exclamation-circle"></i>48.最近一年，您感觉压力对健康的影响程度有多大？</h4>
											<div class="col-lg-12">
												<div class="radio  form-group">
													<label class="col-lg-2"> <input value="1" tab="tab_4" t="t46"
														id="group_4_stressForWell1_radio"
														name="group_4_stressForWell_radio" type="radio"> <span
														class="text">很大</span></label> <label class="col-lg-2"> <input
														value="2" id="group_4_stressForWell2_radio" tab="tab_4" t="t46"
														name="group_4_stressForWell_radio" type="radio" class="">
														<span class="text">有些</span>
													</label> <label class="col-lg-2"> <input value="3" tab="tab_4" t="t46"
														id="group_4_stressForWell3_radio"
														name="group_4_stressForWell_radio" type="radio"> <span
														class="text">几乎没有</span></label> <label class="col-lg-2">
														<input value="4" id="group_4_stressForWell4_radio" tab="tab_4" t="t46"
														name="group_4_stressForWell_radio" type="radio"> <span
														class="text">没有</span>
													</label>
												</div>
											</div>

											<h4 class="block col-lg-12"><i id="t47" class="fa fa-exclamation-circle"></i>49.与同龄人相比，您认为您整体的身体健康状况如何？</h4>
											<div class="col-lg-12">
												<div class="radio  form-group">
													<label class="col-lg-2"> <input value="1"  tab="tab_4" t="t47"
														id="group_4_wellHealthForPeer1_radio"
														name="group_4_wellHealthForPeer_radio" type="radio">
														<span class="text">非常好</span></label> <label class="col-lg-2">
														<input value="2" id="group_4_wellHealthForPeer2_radio" tab="tab_4" t="t47"
														name="group_4_wellHealthForPeer_radio" type="radio"
														class=""> <span class="text">很好</span>
													</label> <label class="col-lg-2"> <input value="3" tab="tab_4" t="t47"
														id="group_4_wellHealthForPeer3_radio"
														name="group_4_wellHealthForPeer_radio" type="radio">
														<span class="text">好</span></label> <label class="col-lg-2">
														<input value="4" id="group_4_wellHealthForPeer4_radio" tab="tab_4" t="t47"
														name="group_4_wellHealthForPeer_radio" type="radio">
														<span class="text">一般</span>
													</label> <label class="col-lg-2"> <input value="5" tab="tab_4" t="t47"
														id="group_4_wellHealthForPeer5_radio"
														name="group_4_wellHealthForPeer_radio" type="radio">
														<span class="text">差</span></label>
												</div>
											</div>
											<h4 class="block col-lg-12"><i id="t48" class="fa fa-exclamation-circle"></i>50.在过去的一年中，您认为您工作和生活中的精神压力大吗？
											</h4>
											<div class="col-lg-12">
												<div class="radio  form-group">
													<label class="col-lg-2"> <input value="1" tab="tab_4" t="t48"
														id="group_4_mentalStressYear1_radio"
														name="group_4_mentalStressYear_radio" type="radio">
														<span class="text">没有压力</span></label> <label class="col-lg-2">
														<input value="2" id="group_4_mentalStressYear2_radio"
														name="group_4_mentalStressYear_radio" type="radio" tab="tab_4" t="t48"
														class=""> <span class="text">压力较少</span>
													</label> <label class="col-lg-2"> <input value="3" tab="tab_4" t="t48"
														id="group_4_mentalStressYear3_radio"
														name="group_4_mentalStressYear_radio" type="radio">
														<span class="text">一般</span></label> <label class="col-lg-2">
														<input value="4" id="group_4_mentalStressYear4_radio" tab="tab_4" t="t48"
														name="group_4_mentalStressYear_radio" type="radio">
														<span class="text">压力较大</span>
													</label> <label class="col-lg-2"> <input value="5" tab="tab_4" t="t48"
														id="group_4_mentalStressYear5_radio"
														name="group_4_mentalStressYear_radio" type="radio">
														<span class="text">压力极大</span></label>
												</div>
											</div>
											<h4 class="block col-lg-12"><i id="t49" class="fa fa-exclamation-circle"></i>51.您目前是否从事以下职业1年或以上？</h4>
											<div class="col-lg-12">
												<div class="radio  form-group">
													<label> <input value="1" tab="tab_4" t="t49"
														id="group_4_professionYear1_radio"
														name="group_4_professionYear_radio" type="radio">
														<span class="text">金属冶炼</span></label> <label> <input tab="tab_4" t="t49"
														value="2" id="group_4_professionYear2_radio"
														name="group_4_professionYear_radio" type="radio" class="">
														<span class="text">煤矿开采</span></label> <label> <input tab="tab_4" t="t49"
														value="3" id="group_4_professionYear3_radio"
														name="group_4_professionYear_radio" type="radio">
														<span class="text">隧道开挖</span></label> <label> <input tab="tab_4" t="t49"
														value="4" id="group_4_professionYear4_radio"
														name="group_4_professionYear_radio" type="radio">
														<span class="text">石化</span></label> <label> <input tab="tab_4" t="t49"
														value="5" id="group_4_professionYear5_radio"
														name="group_4_professionYear_radio" type="radio">
														<span class="text">石棉生产</span></label> <label> <input tab="tab_4" t="t49"
														value="6" id="group_4_professionYear6_radio"
														name="group_4_professionYear_radio" type="radio">
														<span class="text">中餐厨师</span></label> <label> <input tab="tab_4" t="t49"
														value="7" id="group_4_professionYear7_radio"
														name="group_4_professionYear_radio" type="radio">
														<span class="text">无</span></label>
												</div>
											</div>
										</div>
									</div>
								</div>

								<div class="col-sm-8  col-xs-offset-3 btn-bottm"
									style="padding-top: 25px">
									<button onclick="back(3)" type="button"
										class=" btn btn-darkorange col-sm-2">上一步</button>
									<button onclick="next(5)" type="button"
										class=" btn btn-active col-sm-2 col-xs-offset-3">下一步</button>
								</div>
						</div>
						</section>
						<section name="section" id="sec5" style="display: none;">
							<div class="bancgud row">
								<div class="formfont wjdc_top col-lg-12">
									<img src="${ctx}/dep/img/wenjuan.png"> <span class="No">NO.5</span>
									<span class="inform">个人运动信息</span>
								</div>
								<div>
									<h4 class="block col-lg-12"><i id="t50" class="fa fa-exclamation-circle"></i>52.在您的工作、农活及家务活动中，有没有高强度活动，并且活动时间持续10分钟以上？（运重物、挖掘等需要付出较大体力，或引起呼吸、心跳显著增加的活动）</h4>
									<div class="col-lg-12">
										<div class="radio  form-group">
											<label class="col-lg-2"> <input tab="tab_5" t="t50" value="1" id="group_5_activityTen1_radio" onclick="es('1')" name="group_5_activityTen_radio" type="radio"> <span class="text">有</span></label>
											<label class="col-lg-2"> <input tab="tab_5" t="t50" value="2" id="group_5_activityTen2_radio" onclick="es('51,52,53,54,55,56')" name="group_5_activityTen_radio" type="radio">
												<span class="text">没有（跳到第56题）</span></label>
										</div>
									</div>
								</div>
								<div id="part51">
									<h4 class="block col-lg-12">53.在您的工作、农活及家务活动中，通常一周内您进行高强度活动的情况是？</h4>
									<div class="col-lg-12 ">
										<table width="100%" cellpadding="0" cellspacing="0">
											<tbody class="form-group">
												<tr>
													<td width="15"></td>
													<td width="180" title="" class="tooltip-f">每周&nbsp; <select
														autocomplete="off" placeholder="" id="group_5_hactivityTen_select"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">
															<option value="1">1</option>
															<option value="2">2</option>
															<option value="3">3</option>
															<option value="4">4</option>
															<option value="5">5</option>
															<option value="6">6</option>
															<option value="7">7</option>
													</select> </span>&nbsp;天
													</td>
													<td width="360" title="" class="tooltip-f">每天&nbsp; <input type="text" autocomplete="off" id="group_5_hactivityHour_text"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">&nbsp;小时
														<input type="text" autocomplete="off" id="group_5_hactivityMinute_text"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">&nbsp;分钟
													</td>
													<td>&nbsp;</td>
													<td>&nbsp;</td>
												</tr>
											</tbody>
										</table>
									</div>
								</div>
								<div id="part52">
									<h4 class="block col-lg-12">54.其中进行高强度家务活动有几天？每天累计有多长时间？</h4>
									<div class="col-lg-12">
										<table width="100%" cellpadding="0" cellspacing="0">
											<tbody>
												<tr>
													<td width="15"></td>
													<td width="180" title="" class="tooltip-f">每周&nbsp; <select
														autocomplete="off" placeholder="" id="group_5_houseWorkWeek_select"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">
															<option value="1">1</option>
															<option value="2">2</option>
															<option value="3">3</option>
															<option value="4">4</option>
															<option value="5">5</option>
															<option value="6">6</option>
															<option value="7">7</option>
													</select> </span>&nbsp;天
													</td>
													<td width="360" title="" class="tooltip-f">每天&nbsp; <input
														type="text" autocomplete="off" id="group_5_houseWorkWeekHour_text"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">&nbsp;小时
														<input type="text" autocomplete="off" id="group_5_houseWorkWeekMinute_select"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">&nbsp;分钟
													</td>
													<td>&nbsp;</td>
													<td>&nbsp;</td>
												</tr>
											</tbody>
										</table>
									</div>
								</div>
								<div id="part53">
									<h4 class="block col-lg-12">55.在您的工作、农活及家务活动中，有没有中等强度活动，并且活动时间持续10分钟以上？</h4>
									<div class="col-lg-12">
										<div class="radio  form-group">
											<label class="col-lg-2"> <input  value="1" name="group_5_mHouseWorkTenHour_radio" id="group_5_mHouseWorkTenHour1_radio"
												type="radio"> <span class="text">有</span></label> <label
												class="col-lg-2"> <input  value="2" name="group_5_mHouseWorkTenHour_radio" type="radio" id="group_5_mHouseWorkTenHour2_radio"
												class=""> <span class="text">没有</span></label>
										</div>
									</div>
								</div>
								<div id="part54">
									<h4 class="block col-lg-12">56.在您的工作、农活及家务活动中，通常一周内您进行中等强度活动的情况是？</h4>
									<div class="col-lg-12">
										<table width="100%" cellpadding="0" cellspacing="0">
											<tbody>
												<tr>
													<td width="15"></td>
													<td width="180" title="" class="tooltip-f">每周&nbsp; <select
														autocomplete="off" placeholder="" id="group_5_mHouseWorkCase_select"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">
															<option value="1">1</option>
															<option value="2">2</option>
															<option value="3">3</option>
															<option value="4">4</option>
															<option value="5">5</option>
															<option value="6">6</option>
															<option value="7">7</option>
													</select> </span>&nbsp;天
													</td>
													<td width="360" title="" class="tooltip-f">每天&nbsp; <input
														type="text" autocomplete="off" id="group_5_mHouseWorkCaseHour_text"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">&nbsp;小时
														<input type="text" autocomplete="off" id="group_5_mHouseWorkMinute_text"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">&nbsp;分钟
													</td>
													<td>&nbsp;</td>
													<td>&nbsp;</td>
												</tr>
											</tbody>
										</table>
									</div>
								</div>
								<div id="part55">
									<h4 class="block col-lg-12">57.其中进行中等强度家务活动有几天？每天累计有多长时间？</h4>
									<div class="col-lg-12">
										<table width="100%" cellpadding="0" cellspacing="0">
											<tbody>
												<tr>
													<td width="15"></td>
													<td width="180" title="" class="tooltip-f">每周&nbsp; <select
														autocomplete="off" placeholder="" id="group_5_mHouseWorkSomeDay_select"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">
															<option value="1">1</option>
															<option value="2">2</option>
															<option value="3">3</option>
															<option value="4">4</option>
															<option value="5">5</option>
															<option value="6">6</option>
															<option value="7">7</option>
													</select> </span>&nbsp;天
													</td>
													<td width="360" title="" class="tooltip-f">每天&nbsp; <input
														type="text" autocomplete="off" id="group_5_mHouseWorkSomeDayHour_text"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">&nbsp;小时
														<input type="text" autocomplete="off" id="group_5_mHouseWorkSomeDayMinute_text"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">&nbsp;分钟
													</td>
													<td>&nbsp;</td>
													<td>&nbsp;</td>
												</tr>
											</tbody>
										</table>
									</div>
								</div>
								<div>
									<h4 class="block col-lg-12"><i id="t56" class="fa fa-exclamation-circle"></i>58.您在外出时，有没有步行或骑自行车(至少持续10分钟)的情况？</h4>
									<div class="col-lg-12">
										<div class="radio  form-group">
											<label class="col-lg-2"> <input tab="tab_5" t="t56" value="1" onclick="ea('1')" id="group_5_outByBike1_radio" name="group_5_outByBike_radio" type="radio" class=""> <span
												class="text">有</span></label> <label class="col-lg-2"> <input id="group_5_outByBike2_radio" value="2"
												tab="tab_5" t="t56" onclick="ea('57,58,59')" name="group_5_outByBike_radio" type="radio"> <span
												class="text">没有</span></label>
										</div>
									</div>
								</div>
								<div id="ea57">
									<h4 class="block col-lg-12">59.通常一周内，您外出时步行或骑自行车(至少持续10分钟)的情况是？</h4>
									<div class="col-lg-12">
										<table width="100%" cellpadding="0" cellspacing="0">
											<tbody>
												<tr>
													<td width="15"></td>
													<td width="180" title="" class="tooltip-f">每周&nbsp; <select
														autocomplete="off" placeholder="" id="group_5_outByBikeTen_select"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">
															<option value="1">1</option>
															<option value="2">2</option>
															<option value="3">3</option>
															<option value="4">4</option>
															<option value="5">5</option>
															<option value="6">6</option>
															<option value="7">7</option>
													</select> </span>&nbsp;天
													</td>
													<td width="360" title="" class="tooltip-f">每天&nbsp; <input
														type="text" autocomplete="off" id="group_5_outByBikeHour_text"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">&nbsp;小时
														<input type="text" autocomplete="off" id="group_5_outByBikeMiunte_text"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">&nbsp;分钟
													</td>
													<td>&nbsp;</td>
													<td>&nbsp;</td>
												</tr>
											</tbody>
										</table>
									</div>
								</div>
								<div >
									<h4 class="block col-lg-12"><i id="t58" class="fa fa-exclamation-circle"></i>60.您是否进行高强度锻炼或娱乐活动（如长跑、游泳、踢足球等）？</h4>
									<div class="col-lg-12">
										<div class="radio  form-group">
											<label class="col-lg-2"> <input tab="tab_5" t="t58" id="group_5_hPhysical1_radio" value="1" onclick="eb('1')" name="group_5_hPhysical_radio" type="radio"> <span class="text">有</span></label>
											<label class="col-lg-2"> <input tab="tab_5" t="t58" id="group_5_hPhysical2_radio" value="2" onclick="eb('58,59')" name="group_5_hPhysical_radio" type="radio" class=""> <span
												class="text">没有</span></label>
										</div>
									</div>

								</div>
								<div id="eb59">
									<h4 class="block col-lg-12">61.通常一周内，您进行上述高强度的锻炼或娱乐活动是？</h4>
									<div class="col-lg-12">
										<table width="100%" cellpadding="0" cellspacing="0">
											<tbody>
												<tr>
													<td width="15"></td>
													<td width="180" title="" class="tooltip-f">每周&nbsp; <select
														autocomplete="off" placeholder="" id="group_5_hPhysicalWeek_select"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">
															<option value="1">1</option>
															<option value="2">2</option>
															<option value="3">3</option>
															<option value="4">4</option>
															<option value="5">5</option>
															<option value="6">6</option>
															<option value="7">7</option>
													</select> </span>&nbsp;天
													</td>
													<td width="360" title="" class="tooltip-f">每天&nbsp; <input
														type="text" autocomplete="off" id="group_5_hPhysicalWeekHour_text"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">&nbsp;小时
														<input type="text" autocomplete="off" id="group_5_hPhysicalWeekMinute_text"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">&nbsp;分钟
													</td>
													<td>&nbsp;</td>
													<td>&nbsp;</td>
												</tr>
											</tbody>
										</table>
									</div>
								</div>
								<div >
									<h4 class="block col-lg-12"><i id="t60" class="fa fa-exclamation-circle"></i>62.您是否进行持续至少10分钟，引起呼吸、心跳轻度增加的中等强度锻炼或娱乐活动吗？</h4>
									<div class="col-lg-12">
										<div class="radio  form-group">
											<label class="col-lg-2"> <input tab="tab_5" t="t60" value="1" id="group_5_mPhysical1_radio" onclick="ec('1')" name="group_5_mPhysical_radio" type="radio"> <span class="text">有</span></label>
											<label class="col-lg-2"> <input tab="tab_5" t="t60" value="2" id="group_5_mPhysical2_radio" onclick="ec('61')" name="group_5_mPhysical_radio" type="radio" class=""> <span
												class="text">没有</span></label>
										</div>
									</div>
								</div>
								<div id="ec61">
									<h4 class="block col-lg-12">63.通常一周内，您进行上述中等强度的锻炼或娱乐活动是？</h4>
									<div class="col-lg-12">
										<table width="100%" cellpadding="0" cellspacing="0">
											<tbody>
												<tr>
													<td width="15"></td>
													<td width="180" title="" class="tooltip-f">每周&nbsp; <select
														autocomplete="off" placeholder="" id="group_5_mPhysicalWeek_select"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">
															<option value="1">1</option>
															<option value="2">2</option>
															<option value="3">3</option>
															<option value="4">4</option>
															<option value="5">5</option>
															<option value="6">6</option>
															<option value="7">7</option>
													</select> </span>&nbsp;天
													</td>
													<td width="360" title="" class="tooltip-f">每天&nbsp; <input
														type="text" autocomplete="off" id="group_5_mPhysicalWeekHour_text"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">&nbsp;小时
														<input type="text" autocomplete="off" id="group_5_mPhysicalWeekMinute_text"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">&nbsp;分钟
													</td>
													<td>&nbsp;</td>
													<td>&nbsp;</td>
												</tr>
											</tbody>
										</table>
									</div>
								</div>
								<div>
									<h4 class="block col-lg-12">64.通常一天内，您累计有多少时间坐着、靠着或躺着？</h4>
									<div class="col-lg-12">
										<table width="100%" cellpadding="0" cellspacing="0">
											<tbody>
												<tr>
													<td width="15"></td>
													<td width="360" title="" class="tooltip-f">每天&nbsp; <input
														type="text" autocomplete="off" id="group_5_sittingHour_text"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">&nbsp;小时
														<input type="text" autocomplete="off" id="group_5_sittingMinute_text"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">&nbsp;分钟
													</td>
													<td>&nbsp;</td>
													<td>&nbsp;</td>
												</tr>
											</tbody>
										</table>
									</div>
								</div>
								<div>
									<h4 class="block col-lg-12">65.您在业余时间里，平均每天看电视的时间为多少？</h4>
									<div class="col-lg-12">
										<table width="100%" cellpadding="0" cellspacing="0">
											<tbody>
												<tr>
													<td width="15"></td>
													<td width="360" title="" class="tooltip-f">每天&nbsp; <input
														type="text" autocomplete="off" id="group_5_leisureHour_text"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">&nbsp;小时
														<input type="text" autocomplete="off" id="group_5_leisureMinute_text"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">&nbsp;分钟
													</td>
													<td>&nbsp;</td>
													<td>&nbsp;</td>
												</tr>
											</tbody>
										</table>
									</div>
								</div>

								<div>
									<h4 class="block col-lg-12">66.您在业余时间里，平均每天使用电脑的时间为多少？</h4>
									<div class="col-lg-12">
										<table width="100%" cellpadding="0" cellspacing="0">
											<tbody>
												<tr>
													<td width="15"></td>
													<td width="360" title="" class="tooltip-f">每天&nbsp; <input
														type="text" autocomplete="off" id="group_5_leisureForPCHour_text"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">&nbsp;小时
														<input type="text" autocomplete="off" id="group_5_leisureForPCMinute_text"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">&nbsp;分钟
													</td>
													<td>&nbsp;</td>
													<td>&nbsp;</td>
												</tr>
											</tbody>
										</table>
									</div>
								</div>

								<div>
									<h4 class="block col-lg-12">67.您在业余时间里，平均每天使用手机的时间为多少？</h4>
									<div class="col-lg-12">
										<table width="100%" cellpadding="0" cellspacing="0">
											<tbody>
												<tr>
													<td width="15"></td>
													<td width="360" title="" class="tooltip-f">每天&nbsp; <input
														type="text" autocomplete="off" id="group_5_leisureForPhoneHour_text"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">&nbsp;小时
														<input type="text" autocomplete="off" id="group_5_leisureForPhoneMinute_text"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">&nbsp;分钟
													</td>
													<td>&nbsp;</td>
													<td>&nbsp;</td>
												</tr>
											</tbody>
										</table>
									</div>
								</div>

								<div>
									<h4 class="block col-lg-12">68.您在业余时间里，平均每天用于阅读（纸质读物）的时间为多少？</h4>
									<div class="col-lg-12">
										<table width="100%" cellpadding="0" cellspacing="0">
											<tbody>
												<tr>
													<td width="15"></td>
													<td width="360" title="" class="tooltip-f">每天&nbsp; <input
														type="text" autocomplete="off" id="group_5_leisureForReadHour_text"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">&nbsp;小时
														<input type="text" autocomplete="off" id="group_5_leisureForReadMinute_text"
														style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width: 80px;">&nbsp;分钟
													</td>
													<td>&nbsp;</td>
													<td>&nbsp;</td>
												</tr>
											</tbody>
										</table>
									</div>
								</div>
								<div>
									<h4 class="block col-lg-12"><i id="t67" class="fa fa-exclamation-circle"></i>69.近年来，您平均每周进行专门的体育锻炼多少次？</h4>
									<div class="col-lg-12">
										<div class="radio  form-group">
											<label class="col-lg-2"> <input tab="tab_5" t="t67" name="group_5_physicalYear_radio" id="group_5_physicalYear1_radio" value="1"
												type="radio"> <span class="text">3次或以上</span></label> <label
												class="col-lg-2"> <input tab="tab_5" t="t67" name="group_5_physicalYear_radio" type="radio" id="group_5_physicalYear2_radio" value="2"
												class=""> <span class="text">1-2次</span></label> <label
												class="col-lg-2"> <input tab="tab_5" t="t67" name="group_5_physicalYear_radio" type="radio" id="group_5_physicalYear3_radio" value="3"
												class=""> <span class="text"><1次</span></label>

										</div>
									</div>
								</div>
								<div>
									<h4 class="block col-lg-12"><i id="t68" class="fa fa-exclamation-circle"></i>70.您平均每次持续锻炼的时间是多少分钟？</h4>
									<div class="col-lg-12">
										<div class="radio  form-group">
											<label class="col-lg-2"> <input tab="tab_5" t="t68" name="group_5_keepPhysical_radio" id="group_5_keepPhysical1_radio" value="1"
												type="radio"> <span class="text">>60分钟</span></label> <label
												class="col-lg-2"> <input tab="tab_5" t="t68" name="group_5_keepPhysical_radio" type="radio" id="group_5_keepPhysical2_radio" value="2"
												class=""> <span class="text">30-60分钟 </span></label> <label
												class="col-lg-2"> <input tab="tab_5" t="t68" name="group_5_keepPhysical_radio" type="radio" id="group_5_keepPhysical3_radio" value="3"
												class=""> <span class="text">小于30分钟 </span></label>

										</div>
									</div>
								</div>
								<div>
									<h4 class="block col-lg-12"><i id="t69" class="fa fa-exclamation-circle"></i>71.您锻炼时是否出汗？</h4>
									<div class="col-lg-12">
										<div class="radio  form-group">
											<label class="col-lg-2"> <input tab="tab_5" t="t69" value="1" name="group_5_physicalSweat_radio" id="group_5_physicalSweat1_radio"
												type="radio"> <span class="text">是</span></label> <label
												class="col-lg-2"> <input tab="tab_5" t="t69" value="2" name="group_5_physicalSweat_radio" type="radio" id="group_5_physicalSweat2_radio"
												class=""> <span class="text">否</span></label>
										</div>
									</div>
								</div>
								<div>
									<h4 class="block col-lg-12">72.您常用的体育锻炼方式是什么？(多选题)</h4>
									<div class="col-lg-12">
										<div class="checkbox  form-group">
											<label class="col-lg-2"> 
												<input  name="group_5_exercisingWay_checkbox" id="group_5_exercisingWay1_checkbox" value="1"
													type="checkbox"> <span class="text">散步/快走</span></label> <label
													class="col-lg-2"> 
												<input name="group_5_exercisingWay_checkbox" type="checkbox" id="group_5_exercisingWay2_checkbox" value="2"
												class=""> <span class="text">跑步</span></label> <label
												class="col-lg-2"> 
												<input value="3" id="group_5_exercisingWay3_checkbox" name="group_5_exercisingWay_checkbox" type="checkbox">
												<span class="text">游泳</span></label> <label class="col-lg-2">
												<input value="4" id="group_5_exercisingWay4_checkbox" name="group_5_exercisingWay_checkbox" type="checkbox"> <span class="text">球类</span>
											</label> <label class="col-lg-2"> 
											<input value="5" id="group_5_exercisingWay5_checkbox" name="group_5_exercisingWay_checkbox" type="checkbox"> <span class="text">室内健身</span></label> <label
												class="col-lg-2"> 
												<input value="6" id="group_5_exercisingWay6_checkbox" name="group_5_exercisingWay_checkbox" type="checkbox">
												<span class="text">其它</span></label>
										</div>
									</div>
								</div>
								<div class="col-sm-8  col-xs-offset-3 btn-bottm"
									style="padding-top: 25px">
									<button type="button" onclick="back(4)"
										class=" btn btn-darkorange col-sm-2">上一步</button>
									<button type="button" onclick="next(6)"
										class=" btn btn-active col-sm-2 col-xs-offset-3">下一步</button>
								</div>

							</div>
						</section>
						<section id="sec6" name="section1" style="display:none;">
								<div class="bancgud row">
									<div class="formfont wjdc_top col-lg-12"><img src="${ctx}/dep/img/wenjuan.png">
										<span class="No">NO.6</span>
										<span class="inform">个人现病史信息</span>
									</div>
									<div>
										<h4 class="block col-lg-12">73.您目前或曾经是否被医生诊断过患有下列疾病（若有，请在“□”处选择，否则不用填写）</h4>
										<div class="col-lg-12">
											<div class="checkbox  form-group">
												<label class="col-lg-3"> <input value="1" id="group_6_illness1_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">1型糖尿病</span></label>
												<label class="col-lg-3"> <input value="2" id="group_6_illness2_checkbox" name="group_6_illness_checkbox" type="checkbox" class=""> <span class="text">2型糖尿病</span></label>
												<label class="col-lg-3"> <input value="3" id="group_6_illness3_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">高血压</span></label>
												<label class="col-lg-3"> <input value="4" id="group_6_illness4_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">血脂异常</span></label>
											</div>
											<div class="checkbox  form-group">
												<label class="col-lg-3"> <input value="5" id="group_6_illness5_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">骨折</span></label>
												<label class="col-lg-3"> <input value="6" id="group_6_illness6_checkbox" name="group_6_illness_checkbox" type="checkbox" class=""> <span class="text">痛风/高尿酸血症</span></label>
												<label class="col-lg-3"> <input value="7" id="group_6_illness7_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">哮喘</span></label>
												<label class="col-lg-3"> <input value="8" id="group_6_illness8_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">冠心病/心肌梗死</span></label>
											</div>
											<div class="checkbox  form-group">
												<label class="col-lg-3"> <input value="9" id="group_6_illness9_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">类风湿性关节炎</span></label>
												<label class="col-lg-3"> <input value="10" id="group_6_illness10_checkbox" name="group_6_illness_checkbox" type="checkbox" class=""> <span class="text">脑卒中/脑中风</span></label>
												<label class="col-lg-3"> <input value="11" id="group_6_illness11_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">脑出血</span></label>
												<label class="col-lg-3"> <input value="12" id="group_6_illness12_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">代谢综合症</span></label>
											</div>
											<div class="checkbox  form-group">
												<label class="col-lg-3"> <input value="13" id="group_6_illness13_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">慢性腹泻</span></label>
												<label class="col-lg-3"> <input value="14" id="group_6_illness14_checkbox" name="group_6_illness_checkbox" type="checkbox" class=""> <span class="text">慢性便秘</span></label>
												<label class="col-lg-3"> <input value="15" id="group_6_illness15_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">胃/十二指肠溃疡病</span></label>
												<label class="col-lg-3"> <input value="16" id="group_6_illness16_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">骨质疏松症</span></label>
											</div>
											<div class="checkbox  form-group">
												<label class="col-lg-3"> <input value="17" id="group_6_illness17_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">已肝</span></label>
												<label class="col-lg-3"> <input value="18" id="group_6_illness18_checkbox" name="group_6_illness_checkbox" type="checkbox" class=""> <span class="text">胃、肠息肉</span></label>
												<label class="col-lg-3"> <input value="19" id="group_6_illness19_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">慢性肾炎</span></label>
												<label class="col-lg-3"> <input value="20" id="group_6_illness20_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">慢性胆囊炎/胆石症</span></label>
											</div>
											<div class="checkbox  form-group">
												<label class="col-lg-3"> <input value="21" id="group_6_illness21_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">肺炎</span></label>
												<label class="col-lg-3"> <input value="22" id="group_6_illness22_checkbox" name="group_6_illness_checkbox" type="checkbox" class=""> <span class="text">肺结核</span></label>
												<label class="col-lg-3"> <input value="23" id="group_6_illness23_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">脂肪肝</span></label>
												<label class="col-lg-3"> <input value="24" id="group_6_illness24_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">肝硬化</span></label>
											</div>
											<div class="checkbox  form-group">
												<label class="col-lg-3"> <input value="25" id="group_6_illness25_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">丙肝</span></label>
												<label class="col-lg-3"> <input value="26" id="group_6_illness26_checkbox" name="group_6_illness_checkbox" type="checkbox" class=""> <span class="text">甲亢</span></label>
												<label class="col-lg-3"> <input value="27" id="group_6_illness27_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">甲减</span></label>
												<label class="col-lg-3"> <input value="28" id="group_6_illness28_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">甲状腺结节</span></label>
											</div>
											<div class="checkbox  form-group">
												<label class="col-lg-3"> <input value="29" id="group_6_illness29_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">甲状腺癌</span></label>
												<label class="col-lg-3"> <input value="30" id="group_6_illness30_checkbox" name="group_6_illness_checkbox" type="checkbox" class=""> <span class="text">食管癌</span></label>
												<label class="col-lg-3"> <input value="31" id="group_6_illness31_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">肺癌</span></label>
												<label class="col-lg-3"> <input value="32" id="group_6_illness32_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">肝癌</span></label>
											</div>
											<div class="checkbox  form-group">
												<label class="col-lg-3"> <input value="33" id="group_6_illness33_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">卵巢癌</span></label>
												<label class="col-lg-3"> <input value="34" id="group_6_illness34_checkbox" name="group_6_illness_checkbox" type="checkbox" class=""> <span class="text">乳腺癌</span></label>
												<label class="col-lg-3"> <input value="35" id="group_6_illness35_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">子宫内膜癌</span></label>
												<label class="col-lg-3"> <input value="36" id="group_6_illness36_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">肝癌</span></label>
											</div>
											<div class="checkbox  form-group">
												<label class="col-lg-3"> <input value="37" id="group_6_illness37_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">结直肠癌</span></label>
												<label class="col-lg-3"> <input value="38" id="group_6_illness38_checkbox" name="group_6_illness_checkbox" type="checkbox" class=""> <span class="text">宫颈癌</span></label>
											</div>
											<div class="checkbox  form-group">
												<label class="col-lg-12"><input value="39" id="group_6_illness39_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">慢阻肺（慢性支气管炎/肺气肿）</span></label>
											</div>
											<div class="checkbox  form-group">
												<label class="col-lg-12"> <input value="40" id="group_6_illness40_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">慢性肾病（肾炎/肾病综合性/慢性肾功能不全）</span></label>
											</div>
											<div class="checkbox  form-group">
												<label class="col-lg-12"> <input value="41" id="group_6_illness41_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">慢阻肺（乳腺增生/结节/腺病/囊肿等）</span></label>
											</div>
											<div class="checkbox  form-group">
												<label class="col-lg-12"> <input value="42" id="group_6_illness42_checkbox" name="group_6_illness_checkbox" type="checkbox"> <span class="text">慢阻肺（子宫肌瘤/卵巢囊肿/炎症等）</span></label>
											</div>
										</div>
									</div>
									
									<div>
										<h4 class="block col-lg-12">74.您是否长期服用（连续服用3个月以上，平均每日服用一次以上）下列药物？（若有，请在“□”处选择，否则不用填写） </h4>
										<div class="col-lg-12">
											<div class="checkbox  form-group">
												<label class="col-lg-4"> <input value="1" id="group_6_keepDrugThreeMonth1_checkbox" name="group_6_keepDrugThreeMonth_checkbox" type="checkbox"> <span class="text">降压药</span></label>
												<label class="col-lg-4"> <input value="2" id="group_6_keepDrugThreeMonth2_checkbox" name="group_6_keepDrugThreeMonth_checkbox" type="checkbox" class=""> <span class="text">降糖药</span></label>
												<label class="col-lg-4"> <input value="3" id="group_6_keepDrugThreeMonth3_checkbox" name="group_6_keepDrugThreeMonth_checkbox" type="checkbox"> <span class="text">调脂药（降脂药）</span></label>
											</div>
											<div class="checkbox  form-group">
												<label class="col-lg-4"> <input value="4" id="group_6_keepDrugThreeMonth4_checkbox" name="group_6_keepDrugThreeMonth_checkbox" type="checkbox"> <span class="text">降尿酸药</span></label>
												<label class="col-lg-4"> <input value="5" id="group_6_keepDrugThreeMonth5_checkbox" name="group_6_keepDrugThreeMonth_checkbox" type="checkbox" class=""> <span class="text">抗心律失常药</span></label>
												<label class="col-lg-4"> <input value="6" id="group_6_keepDrugThreeMonth6_checkbox" name="group_6_keepDrugThreeMonth_checkbox" type="checkbox"> <span class="text">缓解哮喘药物</span></label>
											</div>
											<div class="checkbox  form-group">
												<label class="col-lg-4"> <input value="7" id="group_6_keepDrugThreeMonth7_checkbox" name="group_6_keepDrugThreeMonth_checkbox" type="checkbox"> <span class="text">镇静剂或安眠药</span></label>
												<label class="col-lg-4"> <input value="8" id="group_6_keepDrugThreeMonth8_checkbox" name="group_6_keepDrugThreeMonth_checkbox" type="checkbox" class=""> <span class="text">中草药</span></label>
												<label class="col-lg-4"> <input value="9" id="group_6_keepDrugThreeMonth9_checkbox" name="group_6_keepDrugThreeMonth_checkbox" type="checkbox"> <span class="text">激素类药物</span></label>
											</div>
											<div class="checkbox  form-group">
												<label class="col-lg-4"> <input value="10" id="group_6_keepDrugThreeMonth10_checkbox" name="group_6_keepDrugThreeMonth_checkbox" type="checkbox"> <span class="text">解热镇痛药</span></label>
												<label class="col-lg-4"> <input value="11" id="group_6_keepDrugThreeMonth11_checkbox" name="group_6_keepDrugThreeMonth_checkbox" type="checkbox" class=""> <span class="text">精神类药物</span></label>
												<label class="col-lg-4"> <input value="12" id="group_6_keepDrugThreeMonth12_checkbox" name="group_6_keepDrugThreeMonth_checkbox" type="checkbox"> <span class="text">其它</span></label>
											</div>
											<div class="checkbox  form-group">
												<label class="col-lg-3"> <input value="13" id="group_6_keepDrugThreeMonth13_checkbox" name="group_6_keepDrugThreeMonth_checkbox" type="checkbox"> <span class="text">抗血小板类药物（如阿司匹林等）</span></label>
											</div>
										</div>
									</div>
									
									<div>
										<h4 class="block col-lg-12">75.最近3个月，您是否有以下躯体症状？(多选)  </h4>
										<div class="col-lg-12">
											<div class="checkbox  form-group">
												<label class="col-lg-6"> <input value="1" id="group_6_threeMonthSomatization1_checkbox" name="group_6_threeMonthSomatization_checkbox" type="checkbox"> <span class="text">头晕、头痛、头胀、头部压近紧箍感</span></label>
												<label class="col-lg-6"> <input value="2" id="group_6_threeMonthSomatization2_checkbox" name="group_6_threeMonthSomatization_checkbox" type="checkbox" class=""> <span class="text">胸痛、胸闷、心慌</span></label>
											</div>
											<div class="checkbox  form-group">
												<label class="col-lg-6"> <input value="3" id="group_6_threeMonthSomatization3_checkbox" name="group_6_threeMonthSomatization_checkbox" type="checkbox"> <span class="text">颈肩不适、活动障碍、上下肢麻木</span></label>
												<label class="col-lg-6"> <input value="4" id="group_6_threeMonthSomatization4_checkbox" name="group_6_threeMonthSomatization_checkbox" type="checkbox" class=""> <span class="text">吞咽困难、反酸</span></label>
											</div>
											<div class="checkbox  form-group">
												<label class="col-lg-6"> <input value="5" id="group_6_threeMonthSomatization5_checkbox" name="group_6_threeMonthSomatization_checkbox" type="checkbox"> <span class="text">腰椎久坐疼痛酸胀、活动受限、腿脚麻木</span></label>
												<label class="col-lg-6"> <input value="6" id="group_6_threeMonthSomatization6_checkbox" name="group_6_threeMonthSomatization_checkbox" type="checkbox" class=""> <span class="text">气紧、气促、呼吸困难</span></label>
											</div>
											<div class="checkbox  form-group">
												<label class="col-lg-6"> <input value="7" id="group_6_threeMonthSomatization7_checkbox" name="group_6_threeMonthSomatization_checkbox" type="checkbox"> <span class="text">小便异常、阴道出血、外阴瘙痒、痛经</span></label>
												<label class="col-lg-6"> <input value="8" id="group_5_threeMonthSomatization8_checkbox" name="group_6_threeMonthSomatization_checkbox" type="checkbox" class=""> <span class="text">乳房有包块、疼痛（与月经周期无关）</span></label>
											</div>
											<div class="checkbox  form-group">
												<label class="col-lg-12"> <input value="9" id="group_6_threeMonthSomatization9_checkbox" name="group_6_threeMonthSomatization_checkbox" type="checkbox"> <span class="text">身体消瘦或体重减轻（3个月内体重减轻超过原体重10%）</span></label>
											</div>
											<div class="checkbox  form-group">
												<label class="col-lg-12"> <input value="10" id="group_6_threeMonthSomatization10_checkbox" name="group_6_threeMonthSomatization_checkbox" type="checkbox"> <span class="text">腹痛、腹胀、腹部不适</span></label>
											</div>
											<div class="checkbox  form-group">
												<label class="col-lg-12"> <input value="11" id="group_6_threeMonthSomatization11_checkbox" name="group_6_threeMonthSomatization_checkbox" type="checkbox"> <span class="text">大便异常</span></label>
											</div>
											<div class="checkbox  form-group">
												<label class="col-lg-12"> <input value="12" id="group_6_threeMonthSomatization12_checkbox" name="group_6_threeMonthSomatization_checkbox" type="checkbox"> <span class="text">浮肿</span></label>
											</div>
											<div class="checkbox  form-group">
												<label class="col-lg-12"> <input value="13" id="group_6_threeMonthSomatization13_checkbox" name="group_6_threeMonthSomatization_checkbox" type="checkbox"> <span class="text">关节疼痛，活动僵硬受限</span></label>
											</div>
											<div class="checkbox  form-group">
												<label class="col-lg-12"> <input value="14" id="group_6_threeMonthSomatization14_checkbox" name="group_6_threeMonthSomatization_checkbox" type="checkbox"> <span class="text">其他特殊不适</span></label>
											</div>
											
										</div>
									</div>
									<div class="col-sm-8  col-xs-offset-3 btn-bottm" style="padding-top:25px">
											<button onclick="back(5)" type="button" class=" btn btn-darkorange col-sm-2">上一步</button>
											<button onclick="next(7)" type="button" class=" btn btn-active col-sm-2 col-xs-offset-3">下一步</button>
									</div>
								</div>
						</section>
						
						<section id="sec7" name="section" style="display:none">
										<div class="bancgud row">
											<div class="formfont wjdc_top col-lg-12"><img src="${ctx}/dep/img/wenjuan.png">
												<span class="No">NO.7</span>
												<span class="inform">个人既往史信息</span>
											</div>
											<div>
												<h4 class="block col-lg-12">76.您有头部外伤史吗？</h4>
												<div class="col-lg-12">
													<div class="form-group">
														<label class=" col-lg-2"><input  value="1" id="group_7_headInjuryHistory1_radio" name="group_7_headInjuryHistory_radio" type="radio" class="" > <span class="text">没有</span></label>
														<label class="col-lg-2"> <input  value="2" id="group_7_headInjuryHistory2_radio" name="group_7_headInjuryHistory_radio" type="radio" class="" > <span class="text">有过</span></label>
													</div>
												</div>
											</div>
											
											<div>
												<h4 class="block col-lg-12">77.您是否被医师诊断患有偏头痛？</h4>
												<div class="col-lg-12">
													<div class="form-group">
														<label class="col-lg-2"><input  id="group_7_migraineHistory1_radio" value="1" name="group_7_migraineHistory_radio" type="radio" class="" > <span class="text">否</span></label>
														<label class="col-lg-2"> <input  id="group_7_migraineHistory2_radio" value="2" name="group_7_migraineHistory_radio" type="radio" class="" > <span class="text">是</span></label>
													</div>
												</div>
											</div>
											
											<div>
												<h4 class="block col-lg-12">78.您是否做过颈动脉B超？</h4>
												<div class="col-lg-12">
													<div class="form-group">
														<label class="col-lg-2"><input   value="1" id="group_7_arteriaBCHistory1_radio" name="group_7_arteriaBCHistory_radio" type="radio" class="" > <span class="text">否</span></label>
														<label class="col-lg-2"> <input  value="2" id="group_7_arteriaBCHistory2_radio" name="group_7_arteriaBCHistory_radio" type="radio" class="" > <span class="text">是</span></label>
													</div>
												</div>
											</div>
											
											<div>
												<h4 class="block col-lg-12">79.您的颈动脉有斑块吗？</h4>
												<div class="col-lg-12">
													<div class="form-group">
														<label class="col-lg-2"> <input  value="1" id="group_7_plaqueHistory1_radio" name="group_7_plaqueHistory_radio" type="radio" class="" > <span class="text">无</span></label>
														<label class="col-lg-2"> <input  value="2" id="group_7_plaqueHistory2_radio" name="group_7_plaqueHistory_radio" type="radio" class="" > <span class="text">有</span></label>
														<label class="col-lg-2"> <input  value="3" id="group_7_plaqueHistory3_radio" name="group_7_plaqueHistory_radio" type="radio" class="" > <span class="text">不清楚 </span></label>
													</div>
												</div>
											</div>
											
											<div>
												<h4 class="block col-lg-12">80.您的颈动脉斑块性质如何？</h4>
												<div class="col-lg-12">
													<div class="form-group">
														<label class="col-lg-2"> <input  value="1" id="group_7_plaqueNatureHistory1_radio" name="group_7_plaqueNatureHistory_radio" type="radio" class="" > <span class="text">软斑 </span></label>
														<label class="col-lg-2"> <input  value="2" id="group_7_plaqueNatureHistory2_radio" name="group_7_plaqueNatureHistory_radio" type="radio" class="" > <span class="text">硬斑</span></label>
														<label class="col-lg-2"> <input  value="3" id="group_7_plaqueNatureHistory3_radio" name="group_7_plaqueNatureHistory_radio" type="radio" class="" > <span class="text">混合斑</span></label>
													</div>
												</div>
											</div>
											
											<div>
												<h4 class="block col-lg-12">81.您的眼底动脉硬化情况如何？</h4>
												<div class="col-lg-12">
													<div class="form-group">
														<label class="col-lg-2"> <input  value="1" id="group_7_arteriosclerosisHistory1_radio" name="group_7_arteriosclerosisHistory_radio" type="radio" class="" > <span class="text">不清楚</span></label>
														<label class="col-lg-2"> <input  value="2" id="group_7_arteriosclerosisHistory2_radio" name="group_7_arteriosclerosisHistory_radio" type="radio" class="" > <span class="text">无硬化</span></label>
														<label class="col-lg-2"> <input  value="3" id="group_7_arteriosclerosisHistory3_radio" name="group_7_arteriosclerosisHistory_radio" type="radio" class="" > <span class="text">I度硬化</span></label>
														<label class="col-lg-2"> <input  value="4" id="group_7_arteriosclerosisHistory4_radio" name="group_7_arteriosclerosisHistory_radio" type="radio" class="" > <span class="text">II度硬化</span></label>
														<label class="col-lg-2"> <input  value="5" id="group_7_arteriosclerosisHistory5_radio" name="group_7_arteriosclerosisHistory_radio" type="radio" class="" > <span class="text">III度硬化</span></label>
													</div>
												</div>
											</div>
											
											<div>
												<h4 class="block col-lg-12">82.您的大便情况如何</h4>
												<div class="col-lg-12">
													<div class="form-group">
														<label class="col-lg-2"> <input  value="1" id="group_7_shitHistory1_radio" name="group_7_shitHistory_radio" type="radio" class="" > <span class="text">长期便秘</span></label>
														<label class="col-lg-2"> <input  value="2" id="group_7_shitHistory2_radio" name="group_7_shitHistory_radio" type="radio" class="" > <span class="text">大便规律，成形</span></label>
														<label class="col-lg-2"> <input  value="3" id="group_7_shitHistory3_radio" name="group_7_shitHistory_radio" type="radio" class="" > <span class="text">大便规律，不成形</span></label>
													</div>
												</div>
											</div>
											
											<div>
												<h4 class="block col-lg-12">83.您是否有过幽门螺杆菌（Hp)感染的诊断</h4>
												<div class="col-lg-12">
													<div class="form-group">
														<label class="col-lg-2"> <input  value="1" id="group_7_hpHistory1_radio" name="group_7_hpHistory_radio" type="radio" class="" > <span class="text">没有</span></label>
														<label class="col-lg-2"> <input  value="2" id="group_7_hpHistory2_radio" name="group_7_hpHistory_radio" type="radio" class="" > <span class="text">有过</span></label>
													</div>
												</div>
											</div>
											
											<div>
												<h4 class="block col-lg-12">84.您是否有过累粘膜萎缩的诊断？</h4>
												<div class="col-lg-12">
													<div class="form-group">
														<label class="col-lg-2"> <input  value="1" id="group_7_mucosaWSHistory1_radio" name="group_7_mucosaWSHistory_radio" type="radio" class="" > <span class="text">没有</span></label>
														<label class="col-lg-2"> <input  value="2" id="group_7_mucosaWSHistory2_radio" name="group_7_mucosaWSHistory_radio" type="radio" class="" > <span class="text">有过</span></label>
													</div>
												</div>
											</div>
											<div>
												<h4 class="block col-lg-12"><i id="t83" class="fa fa-exclamation-circle"></i>85.您是否有过高血压病吗？</h4>
												<div class="col-lg-12">
													<div class="form-group">
														<label class="col-lg-2"><input tab="tab_7" t="t83" value="1" id="group_7_hypertensionHistory1_radio" name="group_7_hypertensionHistory_radio" type="radio" class="" > <span class="text">不清楚 </span></label>
														<label class="col-lg-2"><input tab="tab_7" t="t83" value="2" id="group_7_hypertensionHistory2_radio" name="group_7_hypertensionHistory_radio" type="radio" class="" > <span class="text">无</span></label>
														<label class="col-lg-2"><input tab="tab_7" t="t83" value="3" id="group_7_hypertensionHistory3_radio" name="group_7_hypertensionHistory_radio" type="radio" class="" > <span class="text">有</span></label>
													</div>
												</div>
											</div>
											<div>
												<h4 class="block col-lg-12"><i id="t84" class="fa fa-exclamation-circle"></i>86.您是否有过脑卒中吗？</h4>
												<div class="col-lg-12">
													<div class="form-group">
														<label class="col-lg-2"> <input tab="tab_7" t="t84"  value="1" id="group_7_cerebralApoplexyHistory1_radio" name="group_7_cerebralApoplexyHistory_radio" type="radio" class="" > <span class="text">不清楚 </span></label>
														<label class="col-lg-2"> <input tab="tab_7" t="t84"  value="2" id="group_7_cerebralApoplexyHistory2_radio" name="group_7_cerebralApoplexyHistory_radio" type="radio" class="" > <span class="text">无</span></label>
														<label class="col-lg-2"> <input tab="tab_7" t="t84"  value="3" id="group_7_cerebralApoplexyHistory3_radio" name="group_7_cerebralApoplexyHistory_radio" type="radio" class="" > <span class="text">有</span></label>
													</div>
												</div>
											</div>
											<div>
												<h4 class="block col-lg-12"><i id="t85" class="fa fa-exclamation-circle"></i>87.您是否有过冠心病吗？</h4>
												<div class="col-lg-12">
													<div class="form-group">
														<label class="col-lg-2"><input tab="tab_7" t="t85"  value="1" id="group_7_chdHistory1_radio" name="group_7_chdHistory_radio" type="radio" class="" > <span class="text">不清楚 </span></label>
														<label class="col-lg-2"><input tab="tab_7" t="t85"  value="2" id="group_7_chdHistory2_radio" name="group_7_chdHistory_radio" type="radio" class="" > <span class="text">无</span></label>
														<label class="col-lg-2"><input tab="tab_7" t="t85"  value="3" id="group_7_chdHistory3_radio" name="group_7_chdHistory_radio" type="radio" class="" > <span class="text">有</span></label>
													</div>
												</div>
											</div>
											<div>
												<h4 class="block col-lg-12"><i id="t86" class="fa fa-exclamation-circle"></i>88.您是否有过心肌梗塞吗？</h4>
												<div class="col-lg-12">
													<div class="form-group">
														<label class="col-lg-2"> <input tab="tab_7" t="t86"  value="1"  id="group_7_MIHistory1_radio" name="group_7_MIHistory_radio" type="radio" class="" > <span class="text">不清楚 </span></label>
														<label class="col-lg-2"> <input tab="tab_7" t="t86"  value="2" id="group_7_MIHistory2_radio" name="group_7_MIHistory_radio" type="radio" class="" > <span class="text">无</span></label>
														<label class="col-lg-2"> <input tab="tab_7" t="t86"  value="3" id="group_7_MIHistory3_radio" name="group_7_MIHistory_radio" type="radio" class="" > <span class="text">有</span></label>
													</div>
												</div>
											</div>
											<div>
												<h4 class="block col-lg-12"><i id="t87" class="fa fa-exclamation-circle"></i>89.您是否有过肺心病吗？</h4>
												<div class="col-lg-12">
													<div class="form-group">
														<label class="col-lg-2"> <input tab="tab_7" t="t87" value="1" id="group_7_phdHistory1_radio" name="group_7_phdHistory_radio" type="radio" class="" > <span class="text">不清楚 </span></label>
														<label class="col-lg-2"> <input tab="tab_7" t="t87" value="2" id="group_7_phdHistory2_radio" name="group_7_phdHistory_radio" type="radio" class="" > <span class="text">无</span></label>
														<label class="col-lg-2"> <input tab="tab_7" t="t87" value="3" id="group_7_phdHistory3_radio" name="group_7_phdHistory_radio" type="radio" class="" > <span class="text">有</span></label>
													</div>
												</div>
											</div>
											<div>
												<h4 class="block col-lg-12"><i id="t88" class="fa fa-exclamation-circle"></i>90.您是否有过糖尿病吗？</h4>
												<div class="col-lg-12">
													<div class="form-group">
														<label class="col-lg-2"> <input tab="tab_7" t="t88" value="1" name="group_7_diabetesHistory_radio" id="group_7_diabetesHistory1_radio" type="radio" class="" > <span class="text">不清楚 </span></label>
														<label class="col-lg-2"> <input tab="tab_7" t="t88" value="2" name="group_7_diabetesHistory_radio" id="group_7_diabetesHistory2_radio" type="radio" class="" > <span class="text">无</span></label>
														<label class="col-lg-2"> <input tab="tab_7" t="t88" value="3" name="group_7_diabetesHistory_radio" id="group_7_diabetesHistory3_radio" type="radio" class="" > <span class="text">有</span></label>
													</div>
												</div>
											</div>
											<div>
												<h4 class="block col-lg-12"><i id="t89" class="fa fa-exclamation-circle"></i>91.您是否有过脂肪肝吗？</h4>
												<div class="col-lg-12">
													<div class="form-group">
														<label class="col-lg-2"> <input  tab="tab_7" t="t89" value="1" id="group_7_fattyLiverHistory1_radio" name="group_7_fattyLiverHistory_radio" type="radio" class="" > <span class="text">不清楚 </span></label>
														<label class="col-lg-2"> <input  tab="tab_7" t="t89" value="2" id="group_7_fattyLiverHistory2_radio" name="group_7_fattyLiverHistory_radio" type="radio" class="" > <span class="text">无</span></label>
														<label class="col-lg-2"> <input  tab="tab_7" t="t89" value="3" id="group_7_fattyLiverHistory3_radio" name="group_7_fattyLiverHistory_radio" type="radio" class="" > <span class="text">有</span></label>
													</div>
												</div>
											</div>
											<div>
												<h4 class="block col-lg-12"><i id="t90" class="fa fa-exclamation-circle"></i>92.您是否有过胆囊疾病吗？</h4>
												<div class="col-lg-12">
													<div class="form-group">
														<label class="col-lg-2"> <input tab="tab_7" t="t90" value="1" id="group_7_cholecystIllnessHistory1_radio" name="group_7_cholecystIllnessHistory_radio" type="radio" class="" > <span class="text">不清楚 </span></label>
														<label class="col-lg-2"> <input tab="tab_7" t="t90" value="2" id="group_7_cholecystIllnessHistory2_radio" name="group_7_cholecystIllnessHistory_radio" type="radio" class="" > <span class="text">无</span></label>
														<label class="col-lg-2"> <input tab="tab_7" t="t90" value="3" id="group_7_cholecystIllnessHistory3_radio" name="group_7_cholecystIllnessHistory_radio" type="radio" class="" > <span class="text">有</span></label>
													</div>
												</div>
											</div>
											<div>
												<h4 class="block col-lg-12"><i id="t91" class="fa fa-exclamation-circle"></i>93.您是否有过肾脏疾病吗？</h4>
												<div class="col-lg-12">
													<div class="form-group">
														<label class="col-lg-2"> <input tab="tab_7" t="t91" value="1" id="group_7_kidneyIllnessHistory1_radio" name="group_7_kidneyIllnessHistory_radio" type="radio" class="" > <span class="text">不清楚 </span></label>
														<label class="col-lg-2"> <input tab="tab_7" t="t91" value="2" id="group_7_kidneyIllnessHistory2_radio" name="group_7_kidneyIllnessHistory_radio" type="radio" class="" > <span class="text">无</span></label>
														<label class="col-lg-2"> <input tab="tab_7" t="t91" value="3" id="group_7_kidneyIllnessHistory3_radio" name="group_7_kidneyIllnessHistory_radio" type="radio" class="" > <span class="text">有</span></label>
													</div>
												</div>
											</div>
											<div>
												<h4 class="block col-lg-12"><i id="t92" class="fa fa-exclamation-circle"></i>94.您是否有过结核病吗？</h4>
												<div class="col-lg-12">
													<div class="form-group">
														<label class="col-lg-2"> <input tab="tab_7" t="t92" value="1" id="group_7_TBHistory1_radio" name="group_7_TBHistory_radio" type="radio" class="" > <span class="text">不清楚 </span></label>
														<label class="col-lg-2"> <input tab="tab_7" t="t92" value="2" id="group_7_TBHistory2_radio" name="group_7_TBHistory_radio" type="radio" class="" > <span class="text">无</span></label>
														<label class="col-lg-2"> <input tab="tab_7" t="t92" value="3" id="group_7_TBHistory3_radio" name="group_7_TBHistory_radio" type="radio" class="" > <span class="text">有</span></label>
													</div>
												</div>
											</div>
											<div>
												<h4 class="block col-lg-12"><i id="t93" class="fa fa-exclamation-circle"></i>95.您是否有过肝炎吗？</h4>
												<div class="col-lg-12">
													<div class="form-group">
														<label class="col-lg-2"> <input tab="tab_7" t="t93" value="1" id="group_7_hepatitisHistory1_radio" name="group_7_hepatitisHistory_radio" type="radio" class="" > <span class="text">不清楚 </span></label>
														<label class="col-lg-2"> <input tab="tab_7" t="t93" value="2" id="group_7_hepatitisHistory2_radio" name="group_7_hepatitisHistory_radio" type="radio" class="" > <span class="text">无</span></label>
														<label class="col-lg-2"> <input tab="tab_7" t="t93" value="3" id="group_7_hepatitisHistory3_radio" name="group_7_hepatitisHistory_radio" type="radio" class="" > <span class="text">有</span></label>
													</div>
												</div>
											</div>
											<div>
												<h4 class="block col-lg-12"><i id="t94" class="fa fa-exclamation-circle"></i>96.您是否有过肿瘤吗？</h4>
												<div class="col-lg-12">
													<div class="form-group">
														<label class="col-lg-2"> <input tab="tab_7" t="t94" value="1" id="group_7_tumourHistory1_radio" name="group_7_tumourHistory_radio" type="radio" class="" > <span class="text">不清楚 </span></label>
														<label class="col-lg-2"> <input tab="tab_7" t="t94" value="2" id="group_7_tumourHistory2_radio" name="group_7_tumourHistory_radio" type="radio" class="" > <span class="text">无</span></label>
														<label class="col-lg-2"> <input tab="tab_7" t="t94" value="3" id="group_7_tumourHistory3_radio" name="group_7_tumourHistory_radio" type="radio" class="" > <span class="text">有</span></label>
													</div>
												</div>
											</div>
											<div>
												<h4 class="block col-lg-12">97.您是否有过妇科疾病吗？</h4>
												<div class="col-lg-12">
													<div class="form-group">
														<label class="col-lg-2"> <input value="1" id="group_7_gdHistory1_radio" name="group_7_gdHistory_radio" type="radio" class="" > <span class="text">不清楚 </span></label>
														<label class="col-lg-2"> <input value="2" id="group_7_gdHistory2_radio" name="group_7_gdHistory_radio" type="radio" class="" > <span class="text">无</span></label>
														<label class="col-lg-2"> <input value="3" id="group_7_gdHistory3_radio" name="group_7_gdHistory_radio" type="radio" class="" > <span class="text">有</span></label>
													</div>
												</div>
											</div>
											<div>
												<h4 class="block col-lg-12">98.您是否有过手术外伤吗？</h4>
												<div class="col-lg-12">
													<div class="form-group">
														<label class="col-lg-2"> <input  value="1" id="group_7_OPSHistory1_radio" name="group_7_OPSHistory_radio" type="radio" class="" > <span class="text">不清楚 </span></label>
														<label class="col-lg-2"> <input  value="2" id="group_7_OPSHistory2_radio" name="group_7_OPSHistory_radio" type="radio" class="" > <span class="text">无</span></label>
														<label class="col-lg-2"> <input  value="3" id="group_7_OPSHistory3_radio" name="group_7_OPSHistory_radio" type="radio" class="" > <span class="text">有</span></label>
													</div>
												</div>
											</div>
											<div>
												<h4 class="block col-lg-12">99.您是否有过乳腺病手术史吗？</h4>
												<div class="col-lg-12">
													<div class="form-group">
														<label class="col-lg-2"> <input  value="1" id="group_7_mastopathyHistory1_radio" name="group_7_mastopathyHistory_radio" type="radio" class="" > <span class="text">不清楚 </span></label>
														<label class="col-lg-2"> <input  value="2" id="group_7_mastopathyHistory2_radio" name="group_7_mastopathyHistory_radio" type="radio" class="" > <span class="text">无</span></label>
														<label class="col-lg-2"> <input  value="3" id="group_7_mastopathyHistory3_radio" name="group_7_mastopathyHistory_radio" type="radio" class="" > <span class="text">有</span></label>
													</div>
												</div>
											</div>
											<div class="col-sm-8  col-xs-offset-3 btn-bottm" style="padding-top:25px">
											<button onclick="back(6)" type="button" class=" btn btn-darkorange col-sm-2">上一步</button>
											<button type="button"onclick="next(8)" class=" btn btn-active col-sm-2 col-xs-offset-3">下一步</button>
									</div>
										</div>
							</section>	
							
							
							<section name="section" id="sec8" style="display: none">
									<div class="bancgud row">
										<div class="formfont wjdc_top col-lg-12"><img src="${ctx}/dep/img/wenjuan.png">
											<span class="No">NO.8</span>
											<span class="inform">个人家庭史信息</span>
										</div>
										<div>
										<h4 class="block col-lg-12">100.您的亲属目前或曾经是否被医生诊断过患有下列疾病（若有，请选择，否则不用填写）</h4>
											<table class="table table-striped table-hover table-bordered">
												<tbody>
												<tr>
													<td width="10%"><b>疾病名称</b></td>
													<td width="7%"><b>父亲</b></td>
													<td width="7%"><b>母亲</b></td>
													<td width="7%"><b>兄弟</b></td>
													<td width="7%"><b>姐妹</b></td>
													<td width="25%"><b>疾病名称</b></td>
													<td width="7%"><b>父亲</b></td>
													<td width="7%"><b>母亲</b></td>
													<td width="7%"><b>兄弟</b></td>
													<td width="7%"><b>姐妹</b></td>
												</tr>
												<tr>
													<td width="10%">糖尿病</td>
													<td width="7%">
														<label>
                                                        	<input value="1"  name="group_8_diabetesfamily_checkbox" id="group_8_diabetesfamily1_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="2" name="group_8_diabetesfamily_checkbox" id="group_8_diabetesfamily2_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="3"  name="group_8_diabetesfamily_checkbox" id="group_8_diabetesfamily3_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="4"  name="group_8_diabetesfamily_checkbox" id="group_8_diabetesfamily4_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="25%">慢阴肺（慢性支气管炎/肺气肿）</td>
													<td width="7%">
														<label>
                                                        	<input value="1" id="group_8_cLungfamily1_checkbox" name="group_8_cLungfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="2" id="group_8_cLungfamily2_checkbox" name="group_8_cLungfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="3" id="group_8_cLungfamily3_checkbox" name="group_8_cLungfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="4" id="group_8_cLungfamily4_checkbox" name="group_8_cLungfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
												</tr>
												<tr>
													<td width="10%">高血压</td>
													<td width="7%">
														<label>
                                                        	<input value="1" id="group_8_HCHfamily1_checkbox" name="group_8_HCHfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="2" id="group_8_HCHfamily2_checkbox" name="group_8_HCHfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="3" id="group_8_HCHfamily3_checkbox" name="group_8_HCHfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="4" id="group_8_HCHfamily4_checkbox" name="group_8_HCHfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="25%">痛风（高尿酸血症）</td>
													<td width="7%">
														<label>
                                                        	<input value="1" id="group_8_goutfamily1_checkbox" name="group_8_goutfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="2" id="group_8_goutfamily2_checkbox" name="group_8_goutfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="3" id="group_8_goutfamily3_checkbox" name="group_8_goutfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="4" id="group_8_goutfamily4_checkbox" name="group_8_goutfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
												</tr>
												<tr>
													<td width="10%">高脂血症</td>
													<td width="7%">
														<label>
                                                        	<input value="1" id="group_8_HLPfamily1_checkbox" name="group_8_HLPfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="2" id="group_8_HLPfamily2_checkbox" name="group_8_HLPfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="3" id="group_8_HLPfamily3_checkbox" name="group_8_HLPfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="4" id="group_8_HLPfamily4_checkbox" name="group_8_HLPfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="25%">脑卒中（脑中风）</td>
													<td width="7%">
														<label>
                                                        	<input value="1" id="group_8_strokefamily1_checkbox" name="group_8_strokefamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="2" id="group_8_strokefamily2_checkbox" name="group_8_strokefamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="3" id="group_8_strokefamily3_checkbox" name="group_8_strokefamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="4" id="group_8_strokefamily4_checkbox" name="group_8_strokefamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
												</tr>
												<tr>
													<td width="10%">
														哮喘
													</td>
													<td width="7%">
														<label>
                                                        	<input value="1" id="group_8_asthmafamily1_checkbox" name="group_8_asthmafamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="2" id="group_8_asthmafamily2_checkbox" name="group_8_asthmafamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="3" id="group_8_asthmafamily3_checkbox" name="group_8_asthmafamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="4" id="group_8_asthmafamily4_checkbox" name="group_8_asthmafamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="25%">冠心病或心肌梗死</td>
													<td width="7%">
														<label>
                                                        	<input value="1" id="group_8_MIfamily1_checkbox" name="group_8_MIfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="2" id="group_8_MIfamily2_checkbox" name="group_8_MIfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="3" id="group_8_MIfamily3_checkbox" name="group_8_MIfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="4" id="group_8_MIfamily4_checkbox" name="group_8_MIfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
												</tr>
												<tr>
													<td width="10%">甲状腺癌</td>
													<td width="7%">
														<label>

                                                        	<input value="1" id="group_8_thyroidCAfamily1_checkbox" name="group_8_thyroidCAfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="2" id="group_8_thyroidCAfamily2_checkbox" name="group_8_thyroidCAfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="3" id="group_8_thyroidCAfamily3_checkbox" name="group_8_thyroidCAfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="4" id="group_8_thyroidCAfamily4_checkbox" name="group_8_thyroidCAfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="25%">结直肠癌</td>
													<td width="7%">
														<label>
                                                        	<input value="1" id="group_8_colorectalCancerfamily1_checkbox" name="group_8_colorectalCancerfamily_checkbox"  type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="2" id="group_8_colorectalCancerfamily2_checkbox" name="group_8_colorectalCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="3" id="group_8_colorectalCancerfamily3_checkbox" name="group_8_colorectalCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="4" id="group_8_colorectalCancerfamily4_checkbox" name="group_8_colorectalCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label></td>
												</tr>
												<tr>
													<td width="10%">肺癌</td>
													<td width="7%">
														<label>

                                                        	<input value="1" id="group_8_lungCancerfamily1_checkbox" name="group_8_lungCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label></td>
													<td width="7%">
														<label>
                                                        	<input value="2" id="group_8_lungCancerfamily2_checkbox" name="group_8_lungCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="3" id="group_8_lungCancerfamily3_checkbox" name="group_8_lungCancerfamily_checkbox"  type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="4" id="group_8_lungCancerfamily4_checkbox" name="group_8_lungCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="25%">前列腺癌</td>
													<td width="7%">
														<label>

                                                        	<input value="1" id="group_8_prostateCancerfamily1_checkbox" name="group_8_prostateCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="2" id="group_8_prostateCancerfamily2_checkbox" name="group_8_prostateCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label></td>
													<td width="7%">
														<label>
                                                        	<input value="3" id="group_8_prostateCancerfamily3_checkbox" name="group_8_prostateCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="4" id="group_8_prostateCancerfamily4_checkbox" name="group_8_prostateCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
												</tr>
												<tr>
													<td width="10%">食道癌</td>
													<td width="7%">
														<label>

                                                        	<input value="1" id="group_8_esophagusCancerfamily1_checkbox" name="group_8_esophagusCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="2" id="group_8_esophagusCancerfamily2_checkbox" name="group_8_esophagusCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="3" id="group_8_esophagusCancerfamily3_checkbox" name="group_8_esophagusCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="4" id="group_8_esophagusCancerfamily4_checkbox" name="group_8_esophagusCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="25%">鼻咽癌</td>
													<td width="7%">
														<label>
                                                        	<input value="1" id="group_8_nasopharynxCancerfamily1_checkbox" name="group_8_nasopharynxCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="2" id="group_8_nasopharynxCancerfamily2_checkbox" name="group_8_nasopharynxCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="3" id="group_8_nasopharynxCancerfamily3_checkbox" name="group_8_nasopharynxCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="4" id="group_8_nasopharynxCancerfamily4_checkbox" name="group_8_nasopharynxCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
												</tr>
												<tr>
													<td width="10%">宫颈癌</td>
													<td width="7%">

													<label>
                                                        	<input value="1" id="group_8_cervicalCancerfamily1_checkbox" name="group_8_cervicalCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="2" id="group_8_cervicalCancerfamily2_checkbox" name="group_8_cervicalCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="3" id="group_8_cervicalCancerfamily3_checkbox" name="group_8_cervicalCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="4" id="group_8_cervicalCancerfamily4_checkbox" name="group_8_cervicalCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="25%">乳腺癌</td>
													<td width="7%">
														<label>

                                                        	<input value="1" id="group_8_breastCancerfamily1_checkbox" name="group_8_breastCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="2" id="group_8_breastCancerfamily2_checkbox" name="group_8_breastCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="3" id="group_8_breastCancerfamily3_checkbox" name="group_8_breastCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="4" id="group_8_breastCancerfamily4_checkbox" name="group_8_breastCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
												</tr>
												<tr>
													<td width="10%">卵巢癌</td>
													<td width="7%">
														<label>

                                                        	<input value="1" id="group_8_ovarianCancerfamily1_checkbox" name="group_8_ovarianCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="2" id="group_8_ovarianCancerfamily2_checkbox" name="group_8_ovarianCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="3" id="group_8_ovarianCancerfamily3_checkbox" name="group_8_ovarianCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="4" id="group_8_ovarianCancerfamily4_checkbox" name="group_8_ovarianCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="25%">子宫内膜癌</td>
													<td width="7%">
														<label>
                                                        	<input value="1" id="group_8_endometrialCancerfamily1_checkbox" name="group_8_endometrialCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="2" id="group_8_endometrialCancerfamily2_checkbox" name="group_8_endometrialCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="3" id="group_8_endometrialCancerfamily3_checkbox" name="group_8_endometrialCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="4" id="group_8_endometrialCancerfamily4_checkbox" name="group_8_endometrialCancerfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
												</tr>
												<tr>
													<td width="10%">其他疾病</td>
													<td width="7%">
														<label>
                                                        	<input value="1" id="group_8_ortherfamily1_checkbox" name="group_8_ortherfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="2" id="group_8_ortherfamily2_checkbox" name="group_8_ortherfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="3" id="group_8_ortherfamily3_checkbox" name="group_8_ortherfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="4" id="group_8_ortherfamily4_checkbox" name="group_8_ortherfamily_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="25%">髋部骨折</td>
													<td width="7%">
														<label>
                                                        	<input value="1" id="group_8_hipFracture1_checkbox" name="group_8_hipFracture_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="2" id="group_8_hipFracture2_checkbox" name="group_8_hipFracture_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="3" id="group_8_hipFracture3_checkbox" name="group_8_hipFracture_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
													<td width="7%">
														<label>
                                                        	<input value="4" id="group_8_hipFracture4_checkbox" name="group_8_hipFracture_checkbox" type="checkbox" >
                                                        	<span class="text" id="dohovertree"></span>
                                                   		</label>
													</td>
												</tr>
												</tbody>
											</table>
										</div>
										<div class="col-sm-8  col-xs-offset-3 btn-bottm" style="padding-top:25px">
											<button type="button" onclick="back(7)" class=" btn btn-darkorange col-sm-2">上一步</button>
											<button type="button" onclick="next(9)" class=" btn btn-active col-sm-2 col-xs-offset-3">下一步</button>
										</div>
									</div>
							</section>		
							<section name="section" id="sec9" style="display: none">
									<div class="bancgud row">
										<div class="formfont wjdc_top col-lg-12"><img src="${ctx}/dep/img/wenjuan.png">
											<span class="No">NO.9</span>
											<span class="inform">女性月经及生育史</span>
										</div>
										<div>
											<h4 class="block col-lg-12">
	                                    	<div  class="">
												101.您第一次来月经的年龄是&nbsp;<span title="" class="tooltip-f">
													<select id="group_9_firstMenstrualAge_select">
														<option value="1">12</option>
														<option value="2">13</option>
														<option value="3">14</option>
														<option value="4">15</option>
														<option value="5">16</option>
														<option value="6">17</option>
														<option value="7">18</option>
														<option value="8">19</option>
														<option value="9">20</option>
													</select>&nbsp;岁。</span>
											</div>
	                                    	</h4>
										</div>
										<div>
											<h4 class="block col-lg-12">102.初婚年龄<input id="group_9_firstMarriage_text" type="text" class="textbox-text validatebox-text textbox-prompt" autocomplete="off" placeholder="" style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width:80px;text-align:center">
											</h4>
										</div>
										<div>
											<h4 class="block col-lg-12">103.您是否有过性生活？</h4>
											<div class="col-lg-12">
												<div class="form-group">
													<label class="col-lg-2"> <input value="1" id="group_9_sexLife1_radio" name="group_9_sexLife_radio" type="radio" class="" > <span class="text">是</span></label>
													<label class="col-lg-2"> <input value="2" id="group_9_sexLife2_radio" name="group_9_sexLife_radio" type="radio" class="" > <span class="text">否</span></label>
												</div>
											</div>
										</div>
										
										<div>
											<h4 class="block col-lg-12">104.您是否生育过孩子</h4>
											<div class="col-lg-12">
												<div class="form-group">
													<label class="col-lg-2"><input value="1" id="group_9_giveBirth1_radio" name="group_9_giveBirth_radio" type="radio" class="" > <span class="text">是</span></label>
													<label class="col-lg-2"> <input   value="2" id="group_9_giveBirth2_radio" name="group_9_giveBirth_radio" type="radio" class="" > <span class="text">否</span></label>
												</div>
											</div>
										</div>
										
										<div>
											<h4 class="block col-lg-12">
	                                    	<div  class="">
												105.您生育第1个孩子（或第一胎）的龄是<input id="group_9_firstGiveBirth_text" type="text" class="textbox-text validatebox-text textbox-prompt" autocomplete="off" placeholder="" style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width:80px;text-align:center">

												</span>&nbsp;岁。</span>
											</div>
	                                    	</h4>
										</div>
										
										<div>
											<h4 class="block col-lg-12">
	                                    	<div  class="">
												106.您总共生育了
													<select id="group_9_giveBirthNum_select">
														<option value="1" >1</option>
														<option value="2" >2</option>
														<option value="3">3</option>
														<option value="4">4</option>
														<option value="5">5</option>
													</select>&nbsp;个孩子。</span>
											</div>
	                                    	</h4>
										</div>
										
										<div>
											<h4 class="block col-lg-12">107.怀孕期间您是否患有以下疾病?
												</span>&nbsp;</span></h4>
											<div class="col-lg-12">
												<div class="form-group">
													<label class="col-lg-2"><input value="1" id="group_9_gestation1_radio" name="group_9_gestation_radio" type="radio" class="" > <span class="text">妊娠糖尿病</span></label>
													<label class="col-lg-2"><input value="2" id="group_9_gestation2_radio" name="group_9_gestation_radio" type="radio" class="" > <span class="text">妊娠高血压</span></label>
												</div>
											</div>
										</div>
										
										<div>
											<h4 class="block col-lg-12">108.您累积哺乳喂养孩子的时间是<input  id="group_9_lactationTime_text" type="text" class="textbox-text validatebox-text textbox-prompt" autocomplete="off" placeholder="" style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width:80px;text-align:center">
												</span>&nbsp;年。</span></h4>
										</div>
										<div>
											<h4 class="block col-lg-12">109.您是否服用过避孕药？</h4>
											<div class="col-lg-12">
												<div class="form-group">
													<label class="col-lg-2"> <input value="1" id="group_9_contraceptive1_radio" name="group_9_contraceptive_radio" type="radio" class="" > <span class="text">正在使用</span></label>
													<label class="col-lg-2"> <input value="2" id="group_9_contraceptive2_radio" name="group_9_contraceptive_radio" type="radio" class="" > <span class="text">曾使用</span></label>
													<label class="col-lg-2"> <input value="3" id="group_9_contraceptive3_radio" name="group_9_contraceptive_radio" type="radio" class="" > <span class="text">从未使用</span></label>
												</div>
											</div>
										</div>
										
										<div>
											<h4 class="block col-lg-12">111.您是否已经绝经？</h4>
											<div class="col-lg-12">
												<div class="form-group">
													<label class="col-lg-3"> <input value="1" id="group_9_menopause1_radio" name="group_9_menopause_radio" type="radio" class="" > <span class="text">是</span></label>
													<label class="col-lg-3"> <input value="2" id="group_9_menopause2_radio" name="group_9_menopause_radio" type="radio" class="" > <span class="text">否</span></label>
												</div>
											</div>
										</div>
										
										<div>
											<h4 class="block col-lg-12">112.您绝经时的年龄是<input id="group_9_menopauseAge_text" type="text" class="textbox-text validatebox-text textbox-prompt" autocomplete="off" placeholder="" style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width:80px;text-align:center">
												</span>&nbsp;年。</span></h4>
										</div>
										<div>
											<h4 class="block col-lg-12">113.您绝经后是否使用雌激素？</h4>
											<div class="col-lg-12">
												<div class="form-group">
													<label class="col-lg-3"> <input value="1" id="group_9_estrogen1_radio" name="group_9_estrogen_radio" type="radio" class=""  onclick="ef('1')"> <span class="text">是(继续回答下面问题)</span></label>
													<label class="col-lg-3"> <input value="2" id="group_9_estrogen2_radio" name="group_9_estrogen_radio" type="radio" class=""  onclick="ef('109')"> <span class="text">否（结束本部分问题）</span></label>
												</div>
											</div>
										</div>
										<div id="ef109">
											<h4 class="block col-lg-12">114.您使用了雌激素，使用了<input id="group_9_estrogen_text" type="text" class="textbox-text validatebox-text textbox-prompt" autocomplete="off" placeholder="" style="margin-left: 0px; margin-right: 0px; padding-top: 2px; padding-bottom: 2px; width:80px;text-align:center">
												</span>&nbsp;年。</span></h4>
										</div>
										<div>
											<h4 class="block col-lg-12">115.您的良性乳腺疾病史情况为？</h4>
											<div class="col-lg-12">
												<div class="form-group">
													<label class="col-lg-2"> <input value="1" id="group_9_breastDisease1_checkbox" name="group_9_breastDisease_checkbox" type="checkbox" class="" > <span class="text">没有</span></label>
													<label class="col-lg-2"> <input value="2" id="group_9_breastDisease2_checkbox" name="group_9_breastDisease_checkbox" type="checkbox" class="" > <span class="text">乳腺增生</span></label>
													<label class="col-lg-2"> <input value="3" id="group_9_breastDisease3_checkbox" name="group_9_breastDisease_checkbox" type="checkbox" class="" > <span class="text">乳腺增炎</span></label>
													<label class="col-lg-2"> <input value="4" id="group_9_breastDisease4_checkbox" name="group_9_breastDisease_checkbox" type="checkbox" class="" > <span class="text">乳腺囊肿</span></label>
													<label class="col-lg-2"> <input value="5" id="group_9_breastDisease5_checkbox" name="group_9_breastDisease_checkbox" type="checkbox" class="" > <span class="text">乳腺纤维瘤</span></label>
													<label class="col-lg-2"> <input value="6" id="group_9_breastDisease6_checkbox" name="group_9_breastDisease_checkbox" type="checkbox" class="" > <span class="text">非典型增生</span></label>
													<label class="col-lg-2"> <input value="7" id="group_9_breastDisease7_checkbox" name="group_9_breastDisease_checkbox" type="checkbox" class="" > <span class="text">导管原位癌</span></label>
													<label class="col-lg-2"> <input value="8" id="group_9_breastDisease8_checkbox" name="group_9_breastDisease_checkbox" type="checkbox" class="" > <span class="text">小叶原位癌</span></label>
													<label class="col-lg-2"> <input value="9" id="group_9_breastDisease9_checkbox" name="group_9_breastDisease_checkbox" type="checkbox" class="" > <span class="text">其他</span></label>
												</div>
											</div>
										</div>
										
										<div>
											<h4 class="block col-lg-12">116.您是否做过乳腺活检？</h4>
											<div class="col-lg-12">
												<div class="form-group">
													<label class="col-lg-2"> <input value="1" id="group_9_breastBiopsy1_checkbox" name="group_9_breastBiopsy_checkbox" type="radio" class="" > <span class="text">没有</span></label>
													<label class="col-lg-2"> <input value="2" id="group_9_breastBiopsy2_checkbox" name="group_9_breastBiopsy_checkbox" type="radio" class="" > <span class="text">做过</span></label>
												</div>
											</div>
										</div>
										
										<div>
											<h4 class="block col-lg-12">117.您的生殖系统疾病史情况？</h4>
											<div class="col-lg-12">
												<div class="form-group">
													<label class="col-lg-2"> <input value="1" id="group_9_genitalDiseases1_checkbox" name="group_9_genitalDiseases_checkbox" type="checkbox" class="" > <span class="text">没有</span></label>
													<label class="col-lg-2"> <input value="2" id="group_9_genitalDiseases2_checkbox" name="group_9_genitalDiseases_checkbox" type="checkbox" class="" > <span class="text">子宫内膜异位症</span></label>
													<label class="col-lg-2"> <input value="3" id="group_9_genitalDiseases3_checkbox" name="group_9_genitalDiseases_checkbox" type="checkbox" class="" > <span class="text">子宫肌瘤</span></label>
													<label class="col-lg-2"> <input value="4" id="group_9_genitalDiseases4_checkbox" name="group_9_genitalDiseases_checkbox" type="checkbox" class="" > <span class="text">卵巢囊肿</span></label>
													<label class="col-lg-2"> <input value="5" id="group_9_genitalDiseases5_checkbox" name="group_9_genitalDiseases_checkbox" type="checkbox" class="" > <span class="text">葡萄胎</span></label>
													<label class="col-lg-2"> <input value="6" id="group_9_genitalDiseases6_checkbox" name="group_9_genitalDiseases_checkbox" type="checkbox" class="" > <span class="text">侵袭性葡萄胎</span></label>
													<label class="col-lg-2"> <input value="7" id="group_9_genitalDiseases7_checkbox" name="group_9_genitalDiseases_checkbox" type="checkbox" class="" > <span class="text">宫颈癌</span></label>
													<label class="col-lg-2"> <input value="8" id="group_9_genitalDiseases8_checkbox" name="group_9_genitalDiseases_checkbox" type="checkbox" class="" > <span class="text">子宫内膜癌</span></label>
													<label class="col-lg-2"> <input value="9" id="group_9_genitalDiseases9_checkbox" name="group_9_genitalDiseases_checkbox" type="checkbox" class="" > <span class="text">绒毛膜癌</span></label>
													<label class="col-lg-2"> <input value="10" id="group_9_genitalDiseases10_checkbox" name="group_9_genitalDiseases_checkbox" type="checkbox" class="" > <span class="text">卵巢癌</span></label>
													<label class="col-lg-2"> <input value="11" id="group_9_genitalDiseases11_checkbox" name="group_9_genitalDiseases_checkbox" type="checkbox" class="" > <span class="text">输卵管癌</span></label>
													<label class="col-lg-2"> <input value="12" id="group_9_genitalDiseases12_checkbox" name="group_9_genitalDiseases_checkbox" type="checkbox" class="" > <span class="text">其他</span></label>
												</div>
											</div>
										</div>
										
										<div>
											<h4 class="block col-lg-12">118.您平常是否有以下症状<b>（可多选）</b>？</h4>
											<div class="col-lg-12">
												<div class="form-group">
													<label class="col-lg-2"> <input value="1" id="group_9_commonSymptom1_checkbox" name="group_9_commonSymptom_checkbox" type="checkbox" class="" > <span class="text">没有</span></label>
													<label class="col-lg-2"> <input value="2" id="group_9_commonSymptom2_checkbox" name="group_9_commonSymptom_checkbox" type="checkbox" class="" > <span class="text">乳房胀痛</span></label>
													<label class="col-lg-2"> <input value="3" id="group_9_commonSymptom3_checkbox" name="group_9_commonSymptom_checkbox" type="checkbox" class="" > <span class="text">乳房肿块</span></label>
													<label class="col-lg-2"> <input value="4" id="group_9_commonSymptom4_checkbox" name="group_9_commonSymptom_checkbox" type="checkbox" class="" > <span class="text">乳头回缩</span></label>
													<label class="col-lg-2"> <input value="5" id="group_9_commonSymptom5_checkbox" name="group_9_commonSymptom_checkbox" type="checkbox" class="" > <span class="text">乳头溢液</span></label>
													<label class="col-lg-2"> <input value="6" id="group_9_commonSymptom6_checkbox" name="group_9_commonSymptom_checkbox" type="checkbox" class="" > <span class="text">乳头糜烂</span></label>
													<label class="col-lg-2"> <input value="7" id="group_9_commonSymptom7_checkbox" name="group_9_commonSymptom_checkbox" type="checkbox" class="" > <span class="text">其他</span></label>
												</div>
											</div>
										</div>
										
										<div>
											<h4 class="block col-lg-12">119.您所经历的人工流产次数为（）次？</h4>
											<div class="col-lg-12">
												<div class="form-group">
													<label class="col-lg-2"> <input value="1" id="group_9_inducedAbortion1_radio" name="group_9_inducedAbortion_radio" type="radio" class="" > <span class="text">0</span></label>
													<label class="col-lg-2"> <input value="2" id="group_9_inducedAbortion2_radio" name="group_9_inducedAbortion_radio" type="radio" class="" > <span class="text">1</span></label>
													<label class="col-lg-2"> <input value="3" id="group_9_inducedAbortion3_radio" name="group_9_inducedAbortion_radio" type="radio" class="" > <span class="text">2</span></label>
													<label class="col-lg-2"> <input value="4" id="group_9_inducedAbortion4_radio" name="group_9_inducedAbortion_radio" type="radio" class="" > <span class="text">3</span></label>
													<label class="col-lg-2"> <input value="5" id="group_9_inducedAbortion5_radio" name="group_9_inducedAbortion_radio" type="radio" class="" > <span class="text">>=4</span></label>
												</div>
											</div>
										</div>
										
										<div>
											<h4 class="block col-lg-12">120.您有过母乳喂养的经历吗？</h4>
											<div class="col-lg-12">
												<div class="form-group">
													<label class="col-lg-2"> <input value="1" id="group_9_breastFeeding1_radio" name="group_9_breastFeeding_radio" type="radio" class="" > <span class="text">没有</span></label>
													<label class="col-lg-2"> <input value="2" id="group_9_breastFeeding2_radio" name="group_9_breastFeeding_radio" type="radio" class="" > <span class="text">有</span></label>
												</div>
											</div>
										</div>
										
										<div>
											<h4 class="block col-lg-12">121.您的月经是否规律？</h4>
											<div class="col-lg-12">
												<div class="form-group">
													<label class="col-lg-2"> <input value="1" id="group_9_menstruationLaw1_radio" name="group_9_menstruationLaw_radio" type="radio" class="" > <span class="text">规律</span></label>
													<label class="col-lg-2"> <input value="2" id="group_9_menstruationLaw2_radio" name="group_9_menstruationLaw_radio" type="radio" class="" > <span class="text">不规律</span></label>
												</div>
											</div>
										</div>
										
										<div>
											<h4 class="block col-lg-12">122.您的月经量情况为？</h4>
											<div class="col-lg-12">
												<div class="form-group">
													<label class="col-lg-2"> <input value="1" id="group_9_menstruationVolume1_radio" name="group_9_menstruationVolume_radio" type="radio" class="" > <span class="text">少</span></label>
													<label class="col-lg-2"> <input value="2" id="group_9_menstruationVolume2_radio" name="group_9_menstruationVolume_radio" type="radio" class="" > <span class="text">一般</span></label>
													<label class="col-lg-2"> <input value="3" id="group_9_menstruationVolume3_radio" name="group_9_menstruationVolume_radio" type="radio" class="" > <span class="text">多</span></label>
												</div>
											</div>
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